| NPI | 1720813504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE HANEN-SCHWINHAMER Ap RN 952-594-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-04 |