Individual provider · Type 1 NPI

Hawanie Makonnen, NP

Family Nurse Practitioner · Forest Lake, MN

NPI number 1609546480 Active

Practice location

1540 Lake St S
Forest Lake, MN 55025-2628

Fax (651) 241-1515

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X8541 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1609546480

Hawanie Makonnen, NP's National Provider Identifier is 1609546480, issued on Sep 14, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forest Lake, MN. The record was last updated on Feb 12, 2024.