Organization
NAS HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALADE LATEEF HAMZA NP (NURSE PRACTITIONER)
(763) 477-8151
Entity
Organization
Contact information
Practice address
10907 XYLON LN N, CHAMPLIN, MN 55316-3712
(763) 477-8151
Mailing address
PO BOX 431114, BROOKLYN PARK, MN 55443-7225
(763) 477-8151
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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