Individual
MISS ABENA VIOLA PREMPEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 XYLON AVE N APT 206, NEW HOPE, MN 55428-5324
(609) 338-4325
Mailing address
5621 XYLON AVE N APT 206, NEW HOPE, MN 55428-5324
(609) 338-4325
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10331
MN
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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