Individual
MONSURAT OLUWA-OKOUGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1565 11TH AVE, NEWPORT, MN 55055-1650
(651) 271-5214
Mailing address
1565 11TH AVE, NEWPORT, MN 55055-1650
(651) 271-5214
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7642
MN
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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