Organization
FAVORGRACE WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAVORGRACE NAGBE (OWNER)
(612) 570-0747
Entity
Organization
Contact information
Practice address
6160 SUMMIT DR N STE 231, BROOKLYN CENTER, MN 55430-2118
(612) 570-0747
Mailing address
6160 SUMMIT DR N STE 231, BROOKLYN CENTER, MN 55430-2118
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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