Individual
OGBITSE MAUREEN ATAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9211
(651) 290-9210
Mailing address
409 DUNLAP ST N, SAINT PAUL, MN 55104-4201
(651) 290-9211
(651) 290-9210
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
CNP 4123
MN
363LF0000X
Family Nurse Practitioner
Primary
4123
MN
Other
Enumeration date
11/05/2015
Last updated
10/15/2019
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