Individual
MR. TYROLT A NGOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP, PMHNP
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Mailing address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9694
MN
Other
Enumeration date
11/15/2022
Last updated
11/21/2022
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