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Azie Judith Khan
Psychiatric/Mental Health Nurse Practitioner in Forest Lake, Minnesota
NPI 1265012629

Azie Judith Khan is a Psychiatric/Mental Health Nurse Practitioner based in Forest Lake, MN and is specialized in Psychiatric/Mental Health. Azie Judith Khan practices in Forest Lake, MN. The NPI Number for Azie Judith Khan is 1265012629 and holds a License No. 8079 (Minnesota).

The current practice location address for Azie Judith Khan is 7211 208Th Cir N, Forest Lake, MN and can be reached out via phone at 515-918-3955.

Location: 7211 208Th Cir N, Forest Lake, MN, 55025-2903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265012629
Provider Name
Azie Judith Khan
Credential
Provider Entity Type
Individual
Gender
Female
Address
7211 208Th Cir N, Forest Lake, MN, 55025-2903
Phone Number
515-918-3955
Fax Number
Provider Enumeration Date
04/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7211 208Th Cir N
City
Forest Lake
State
Minnesota
Zip
55025-2903
Phone Number
515-918-3955
Fax Number
person
Provider Business Mailing Address Details
Address
7211 208Th Cir N
City
Forest Lake
State
Minnesota
Zip
55025-2903
Phone Number
515-918-3955
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
8079 (Minnesota)
Definition
Definition to come...
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