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Minnesota Wellcare Llc
Psychiatric/Mental Health Nurse Practitioner in Lakeville, Minnesota
NPI 1801548748

Minnesota Wellcare Llc is a Psychiatric/Mental Health Nurse Practitioner based in Lakeville, MN and is specialized in Psychiatric/Mental Health. Minnesota Wellcare Llc practices in Lakeville, MN. The NPI Number for Minnesota Wellcare Llc is 1801548748 and holds a License No. (Minnesota).

The current practice location address for Minnesota Wellcare Llc is 10519 165Th St W, Lakeville, MN and can be reached out via phone at 952-248-2719. You can also correspond with Minnesota Wellcare Llc through the mailing address at 10519 165TH ST W, LAKEVILLE, MN - 55044-5722 (mailing address contact number: 952-248-2719).

Location: 10519 165Th St W, Lakeville, MN, 55044-5722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801548748
Provider Name
Minnesota Wellcare Llc
Credential
Provider Entity Type
Organization
Address
10519 165Th St W, Lakeville, MN, 55044-5722
Phone Number
952-248-2719
Fax Number
Provider Enumeration Date
01/21/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
10519 165Th St W
City
Lakeville
State
Minnesota
Zip
55044-5722
Phone Number
952-248-2719
Fax Number
person
Provider Business Mailing Address Details
Address
10519 165Th St W
City
Lakeville
State
Minnesota
Zip
55044-5722
Phone Number
952-248-2719
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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