Individual provider · Type 1 NPI
Kerenge Ayuk Ako-Ebot
Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI number
1790443075
Active
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Other practice locations
- 1675 Highway 96 E, White Bear Lake, MN 55110-3617 · (651) 442-6406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8588 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790443075
Kerenge Ayuk Ako-Ebot's National Provider Identifier is 1790443075, issued on Dec 3, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 28, 2024.