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Organization

DESIRE WELLNESS CARE

Active
Other names
Desire Wellness Care
Organization subpart
No

Provider details

NPI number
Authorized official
IJEOMA NWIWUZO OGBONNAYA PMHNP-BC, CNP (CEO)
(612) 250-1088
Entity
Organization

Contact information

Practice address
6935 74TH ST S, COTTAGE GROVE, MN 55016-4468
(612) 250-1088
Mailing address
6935 74TH ST S, COTTAGE GROVE, MN 55016-4468
(612) 250-1088

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/22/2025
Last updated
02/22/2025
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