Individual
MAVIS OSEI YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(336) 549-6221
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(855) 247-8474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004181
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003059478
—
NC
Enumeration date
04/14/2009
Last updated
06/29/2020
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