Organization
PSYCHNURSE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M WITTCOFF CNS, MSN (PRESIDENT)
(651) 503-8800
Entity
Organization
Contact information
Practice address
3000 COUNTY ROAD 42 W, SUITE 210, BURNSVILLE, MN 55337-4824
(952) 898-7578
(952) 898-7592
Mailing address
5608 SANIBEL DR, MINNETONKA, MN 55343-4149
(952) 935-0212
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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