Individual
MS. PHOEBE NYABANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
904 PRINCETON AVE, SHAKOPEE, MN 55379-4534
(612) 940-5651
Mailing address
904 PRINCETON AVE, SHAKOPEE, MN 55379-4534
(612) 940-5651
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8224
MN
Other
Enumeration date
06/07/2021
Last updated
12/05/2023
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