Organization
INNERCLARITY PSYCHIATRY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AICHA KATTY DNP, PMHNP-BC, FNP-C (NURSE PRACTITIONER)
(952) 222-7782
Entity
Organization
Contact information
Practice address
8500 NORMANDALE LAKE BLVD STE 350, BLOOMINGTON, MN 55437-3805
(952) 222-7782
(563) 220-4832
Mailing address
7738 206TH ST W, LAKEVILLE, MN 55044-4709
(651) 468-5973
(563) 220-4832
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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