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Organization
MIETUS NP MENTAL HEALTH, LLC
Active
Organization
MIETUS NP MENTAL HEALTH, LLC
Active
Other names
Mental Wellbeing NP
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY THOMPSON MIETUS APRN, CNP (SELF-EMPLOYED NURSE PRACTITIONER)
(612) 226-2912
Entity
Organization
Contact information
Practice address
428 MINNESOTA ST STE 500, SAINT PAUL, MN 55101-2666
(612) 662-9604
(612) 474-9072
Mailing address
5100 42ND AVE S, MINNEAPOLIS, MN 55417-1615
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
07/31/2023
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