Individual
STONE HAMABWE KABWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, APRN, FNP-C
Contact information
Practice address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9017
MN
363LF0000X
Family Nurse Practitioner
9017
MN
Other
Enumeration date
02/19/2022
Last updated
08/09/2024
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