person
Antenalu Desta Tona
Psychiatric/Mental Health Nurse Practitioner in Spring Lake Park, Minnesota
NPI 1679348247

Antenalu Desta Tona is a Psychiatric/Mental Health Nurse Practitioner based in Spring Lake Park, MN and is specialized in Psychiatric/Mental Health. Antenalu Desta Tona practices in Spring Lake Park, MN. The NPI Number for Antenalu Desta Tona is 1679348247 and holds a License No. 10993 (Minnesota).

The current practice location address for Antenalu Desta Tona is 8340 5Th St Ne, Spring Lake Park, MN and can be reached out via phone at 612-886-5439.

Location: 8340 5Th St Ne, Spring Lake Park, MN, 55432-1135
person
Provider Profile Details
NPI Number
1679348247
Provider Name
Antenalu Desta Tona
Credential
Provider Entity Type
Individual
Gender
Male
Address
8340 5Th St Ne, Spring Lake Park, MN, 55432-1135
Phone Number
612-886-5439
Fax Number
Provider Enumeration Date
11/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8340 5Th St Ne
City
State
Zip
55432-1135
Phone Number
612-886-5439
Fax Number
person
Provider Business Mailing Address Details
Address
8340 5Th St Ne
City
State
Zip
55432-1135
Phone Number
612-886-5439
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
10993 (Minnesota)
Definition
Definition to come...
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