Individual
OCTAVIA HYACINTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
Mailing address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17035
CA
Other
Enumeration date
01/31/2008
Last updated
03/24/2009
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