Individual
ADANE FOGE USHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
9257 UNITY ST NW, COON RAPIDS, MN 55433-5743
(651) 263-9014
Mailing address
9257 UNITY ST NW, COON RAPIDS, MN 55433-5743
(651) 263-9014
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
2228453
MN
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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