Individual
LOVELINE N NGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2582
Mailing address
1313 PENN AVE N, MINNEAPOLIS, MN 55411-3047
(612) 543-2582
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7703
MN
Other
Enumeration date
09/04/2020
Last updated
12/15/2021
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