Individual
PATRICIA CECILE HENJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
3433 BROADWAY ST NE STE 300, MINNEAPOLIS, MN 55413-1761
(763) 587-7737
(763) 587-7069
Mailing address
2050 WATERTOWN RD, LONG LAKE, MN 55356-9647
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1761
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60000231-0
—
MN
Enumeration date
07/21/2006
Last updated
05/17/2024
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