Individual
CHANDRAWATIE KHEMRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15245 BLUEBIRD ST NW, ANDOVER, MN 55304-3538
(763) 587-4688
(763) 587-4662
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4884
MN
Other
Enumeration date
11/05/2016
Last updated
02/08/2022
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