| NPI | 1497644124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANN SIMS CEO 763-228-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |