# MENTAL HEALTH NURSING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750872552
- **Authorized official:** ERIC L FOSSEN RN (OWNER)
- **Authorized official phone:** (952) 270-1409

## Contact information

- **Practice address:** 888 COUNTY ROAD D W STE 104, NEW BRIGHTON, MN 55112-8519
- **Practice address phone:** (952) 270-1409
- **Mailing address:** 888 COUNTY ROAD D W STE 104, NEW BRIGHTON, MN 55112-8519
- **Mailing address phone:** (952) 270-1409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | MN | Yes |

## Other

- **Enumeration date:** 05/29/2018
- **Last updated:** 10/22/2018