Organization
JOURNI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA GRAZIANO ARNP (PROVIDER)
(763) 333-4718
Entity
Organization
Contact information
Practice address
277 COON RAPIDS BLVD SUITE 308, COON RAPIDS, MN 55433
(612) 567-0981
Mailing address
11301 CROOKED LAKE BLVD, COON RAPIDS, MN 55433
(763) 333-4718
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R217553-5
MN
Other
Enumeration date
03/22/2016
Last updated
07/13/2016
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