Organization
EVOLVE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN HAMILTON APRN, CNP, PMHNP-BC (CHIEF EXECUTIVE OFFICER)
(651) 565-7768
Entity
Organization
Contact information
Practice address
428 MINNESOTA ST UNIT 500, SAINT PAUL, MN 55101-2666
(651) 565-7768
Mailing address
428 MINNESOTA ST UNIT 500, SAINT PAUL, MN 55101-2666
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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