Organization
ASSURED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER OGETTI NYABERE CNP (PROVIDER)
(952) 212-0911
Entity
Organization
Contact information
Practice address
8421 W BROADWAY AVE, BROOKLYN PARK, MN 55445
(952) 212-0911
(651) 300-1956
Mailing address
8421 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(952) 212-0911
(651) 300-1956
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
CNP0956
MN
Other
Enumeration date
05/11/2017
Last updated
02/13/2024
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