Organization
AMETRINE MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAYA JEAN MARIE EVENSON PMHNP (MEMBER)
(612) 220-3441
Entity
Organization
Contact information
Practice address
194 PROGRESS WAY, SPICER, MN 56288-5000
(320) 640-2891
Mailing address
14802 1ST AVE E, ATWATER, MN 56209-9407
(612) 220-3441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
04/12/2023
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