Individual provider · Type 1 NPI

Tracy Eboshogue Itsosime Ekhator

Registered Nurse · Brooklyn Center, MN

NPI number 1013735109 Active

Practice location

5701 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2467

Mailing address

1543 159th Ave NW
Andover, MN 55304-4563

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2521094 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1013735109

Tracy Eboshogue Itsosime Ekhator's National Provider Identifier is 1013735109, issued on Sep 28, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Sep 28, 2024.