Organization
PATHWAY VIRTU-HEALTH
Active
Organization
PATHWAY VIRTU-HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE ABIOLA DAWODU DNP, FNP, PMHNP-BC (PROVIDER)
(612) 517-1293
Entity
Organization
Contact information
Practice address
4570 CHURCHILL ST STE 140, SHOREVIEW, MN 55126-2274
(612) 517-1293
(612) 349-2790
Mailing address
4570 CHURCHILL ST STE 140, SHOREVIEW, MN 55126-2274
(612) 517-1293
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
01/20/2023
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