| Trucare Path-health, Beauty & Behavioral Wellness | |
|
7101 York Ave S Ste 345 Edina MN 55435-4409 | |
| (952) 393-0505 | |
| Not Available |
| Full Name | Trucare Path-health, Beauty & Behavioral Wellness |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7101 York Ave S Ste 345, Edina, Minnesota |
| Authorized Official Name and Position | Nasro A Ahmed (PROVIDER/MANAGER) |
| Authorized Official Contact | 9523930505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trucare Path-health, Beauty & Behavioral Wellness 7101 York Ave S Ste 345 Edina MN 55435-4409 Ph: (952) 393-0505 | Trucare Path-health, Beauty & Behavioral Wellness 7101 York Ave S Ste 345 Edina MN 55435-4409 Ph: (952) 393-0505 |
| NPI Number | 1467273797 |
|---|---|
| Provider Enumeration Date | 10/19/2024 |
| Last Update Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467273797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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