Individual
EVELYN AYANGWOA NGIMUKUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 871-7443
Mailing address
4986 202ND ST N, FOREST LAKE, MN 55025-8157
(651) 434-5021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10998
MN
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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