Individual
IRENE ENJEMA EKOBENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 787-8408
(612) 567-8935
Mailing address
464 2ND ST STE 204, EXCELSIOR, MN 55331-2015
(612) 787-8408
(612) 567-8935
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10642
MN
Other
Enumeration date
08/21/2023
Last updated
02/20/2025
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