| NPI | 1851857106 |
|---|---|
| Doing Business As | MENTAL WELLBEING NP |
| Entity Type | Organization |
| Authorized Contact | STACEY THOMPSON MIETUS Self Employed Nurse Practitioner 612-226-2912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2023-07-31 |