Individual
KERENGE AYUK AKO-EBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8588
MN
Other
Enumeration date
12/03/2021
Last updated
10/28/2024
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