Individual
TREASURE T TAKANG-ENOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(832) 497-7119
Mailing address
13603 80TH CIR N, MAPLE GROVE, MN 55369-8961
(832) 497-7119
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
833234
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11144
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146819
—
TX
Enumeration date
10/24/2014
Last updated
01/19/2024
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