Individual
MILLICENT BOA-AMPONSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC, CRNP
Contact information
Practice address
14800 GALAXIE AVE STE 305, APPLE VALLEY, MN 55124-4530
(952) 432-1484
(952) 432-2328
Mailing address
4240 PARK GLEN RD, ST LOUIS PARK, MN 55416-5427
(612) 925-6033
(612) 925-8496
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1971170
MN
163WP0808X
Psychiatric/Mental Health Registered Nurse
R213614
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8696
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R213614
MD
Other
Enumeration date
07/20/2018
Last updated
05/27/2025
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