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Organization
SERE PATH WELLNESS CENTER LLC
Active
Organization
SERE PATH WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHMIN NAGUJJA APRN PMHNP-BC (OWNER)
(612) 447-4747
Entity
Organization
Contact information
Practice address
277 COON RAPIDS BLVD NW STE 414, COON RAPIDS, MN 55433-5865
(612) 447-4747
(612) 688-7880
Mailing address
277 COON RAPIDS BLVD NW STE 414, COON RAPIDS, MN 55433-5865
(612) 447-4747
(612) 688-7880
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
04/22/2026
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