| NPI | 1821552647 |
|---|---|
| Doing Business As | SUCCESSFUL CONNECTIONS HEALTH AND WELLNESS INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | PANDORA WHITE Nurse Practitioner 612-272-8009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-28 |