Organization · Type 2 NPI
Forever Young Two Medical and Skincare
Nurse Practitioner · Waite Park, MN
Practice location
223 3rd St NE
Waite Park, MN 56387-1271
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1023979598
Forever Young Two Medical and Skincare's National Provider Identifier is 1023979598, issued on Nov 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Waite Park, MN. The record was last updated on Nov 22, 2025.