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Nardos Bekele Legamo
Family Nurse Practitioner in Blaine, Minnesota
NPI 1356121164

Nardos Bekele Legamo is a Family Nurse Practitioner based in Blaine, MN and is specialized in Family. Nardos Bekele Legamo practices in Blaine, MN. The NPI Number for Nardos Bekele Legamo is 1356121164 and holds a License No. F08231091 (Minnesota).

The current practice location address for Nardos Bekele Legamo is 2357 108Th Ln Ne, Blaine, MN and can be reached out via phone at 763-780-0776.

Location: 2357 108Th Ln Ne, Blaine, MN, 55449-5222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356121164
Provider Name
Nardos Bekele Legamo
Credential
Provider Entity Type
Individual
Gender
Male
Address
2357 108Th Ln Ne, Blaine, MN, 55449-5222
Phone Number
763-780-0776
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2357 108Th Ln Ne
City
Blaine
State
Minnesota
Zip
55449-5222
Phone Number
763-780-0776
Fax Number
person
Provider Business Mailing Address Details
Address
2357 108Th Ln Ne
City
Blaine
State
Minnesota
Zip
55449-5222
Phone Number
763-780-0776
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F08231091 (Minnesota)
Definition
Definition to come...
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