FTE-HUDANI ACHINGE
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1790631844- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- P.O BOX 17370 LOT #5124, SAINT PAUL, MN, 551170370
- Phone
- (507) 721-9629
Specialties & Taxonomies
Nurse Practitioner
Primary License: MN #13058
General Practice
License: MN #13058