Organization
SERENE PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKENZUA AGBATOR CNP, PMHNP (PRESIDENT)
(651) 216-3339
Entity
Organization
Contact information
Practice address
621 W LAKE ST STE 350, MINNEAPOLIS, MN 55408-2952
(612) 979-2276
Mailing address
4253 46TH AVE N APT 305, ROBBINSDALE, MN 55422-1354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
12/03/2024
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