Organization · Type 2 NPI
Mind Revitalized Psychiatry PLLC
Psychiatric/Mental Health Nurse Practitioner · Brooklyn Park, MN
NPI number
1013827245
Active
Practice location
7420 Unity Ave N Ste 307B
Brooklyn Park, MN 55443-3136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1013827245
Mind Revitalized Psychiatry PLLC's National Provider Identifier is 1013827245, issued on Sep 10, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn Park, MN. The record was last updated on Sep 10, 2026.