Unknown Individual – Child & Adolescent Psychiatric/Mental Health Registered Nurse, NPI 1780661389
Child & Adolescent Psychiatric/Mental Health Registered Nurse
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1900, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States
SUITE 110
NEW BRIGHTON, MN 551121786
Phone: (651) 628-9566
Type: Mailing
11010, Prairie Lakes Drive, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 250
EDEN PRAIRIE, MN 553443884
Phone: (952) 746-2522
Fax: (952) 746-8007
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55112)
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