Organization · Type 2 NPI
Summit Advance Mobile Wound Care LLC
Family Nurse Practitioner · Maple Grove, MN
NPI number
1316759566
Active
Practice location
6773 Deerwood Ln N
Maple Grove, MN 55369-5530
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1316759566
Summit Advance Mobile Wound Care LLC's National Provider Identifier is 1316759566, issued on Jan 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Maple Grove, MN. The record was last updated on Jan 24, 2025.