Individual
MR. WALTER OGETTI NYABERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8421 W BROADWAY AVE, BROOKLYN PARK, MN 55445
(952) 212-0911
(651) 300-1956
Mailing address
8421 W BROADWAY AVE, BROOKLYN PARK, MN 55445-2266
(952) 212-0911
(651) 300-1956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0956
MN
Other
Enumeration date
10/12/2012
Last updated
05/15/2018
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