| NPI | 1891554408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KAY ANDERSON Pmhnp, Owner 507-450-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |