institution
Wisdom Psychiatric Care And Medication Management Llc
Psychiatric/Mental Health Nurse Practitioner in Mounds View, Minnesota
NPI 1255925962

Wisdom Psychiatric Care And Medication Management Llc is a Psychiatric/Mental Health Nurse Practitioner based in Blaine, MN and is specialized in Psychiatric/Mental Health. Wisdom Psychiatric Care And Medication Management Llc practices in Mounds View, MN. The NPI Number for Wisdom Psychiatric Care And Medication Management Llc is 1255925962 and holds a License No. (Minnesota).

The current practice location address for Wisdom Psychiatric Care And Medication Management Llc is 2704 Mounds View Blvd, Mounds View, MN and can be reached out via phone at 320-232-0647 and via fax at 567-205-3614.

Location: 2704 Mounds View Blvd, Mounds View, MN, 55449-4252
institution
Provider Profile Details
NPI Number
1255925962
Provider Name
Wisdom Psychiatric Care And Medication Management Llc
Credential
Provider Entity Type
Organization
Address
2704 Mounds View Blvd, Mounds View, MN, 55449-4252
Phone Number
320-232-0647
Fax Number
567-205-3614
Provider Enumeration Date
02/23/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
359498100 05 MN
institution
Provider Business Practice Location Address Details
Address
2704 Mounds View Blvd
City
State
Zip
55112
Phone Number
320-232-0647
Fax Number
567-205-3614
person
Provider Business Mailing Address Details
Address
2704 Mounds View Blvd
City
State
Zip
55112
Phone Number
320-232-0647
Fax Number
567-205-3614
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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