Individual
LINDA MONGARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 269-9240
Mailing address
7237 146TH AVE NW, RAMSEY, MN 55303-9117
(763) 269-9240
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7678
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7678
CNP
MN
Enumeration date
09/14/2020
Last updated
12/20/2022
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