NPI | 1497640684 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTA MARIE JOHNSON Managing Member 612-405-9101 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health |
367A00000X Advanced Practice Midwife | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2025-06-10 |
Last Update Date | 2025-06-10 |