Individual
NANCY NOVAKOSKE HOOGENHOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
200 OAK ST SE, STE 160, MINNEAPOLIS, MN 55455-2009
(612) 626-2820
(612) 624-0997
Mailing address
200 OAK ST SE, STE 160, MINNEAPOLIS, MN 55455-2009
(612) 626-2820
(612) 624-0997
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R 088719-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36030700
—
WI
Enumeration date
05/31/2007
Last updated
03/30/2012
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