| NPI | 1649050162 |
|---|---|
| Doing Business As | SUNRISE MENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | THERESA RAE REESE Owner 651-434-9753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-08 |