| NPI | 1871469742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE HANSEN-SCHWINGHAMER Nurse Practitioner Owner 952-594-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |