Individual
MRS. AUGUSTINE I EVBAKHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3796
MN
363LF0000X
Family Nurse Practitioner
Primary
3796
MN
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
12/21/2011
Last updated
04/13/2023
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