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Individual

DR. NAKITA GRACE NATALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(612) 253-1111
(952) 767-0782
Mailing address
1801 AMERICAN BLVD E, BLOOMINGTON, MN 55425-1232
(612) 253-1111
(952) 767-0782

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301102853
MI
2084P0800X
Psychiatry Physician
Primary
66270
MN
2084P0804X
Child & Adolescent Psychiatry Physician
66270
MN

Other

Enumeration date
06/19/2013
Last updated
02/27/2025
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