Individual
AKENZUA AGBATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
621 W LAKE ST, MINNEAPOLIS, MN 55408-2949
(612) 979-2276
Mailing address
4253 46TH AVE N APT 305, ROBBINSDALE, MN 55422-1354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11660
MN
Other
Enumeration date
06/13/2024
Last updated
12/03/2024
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