Momodou Ceesay GNP

NPI 1649438417 - Nurse Practitioner - 363LG0600X

NPI Details
NPI 1649438417
Gender Male
Enumeration Date 05/29/2008
Last Updated 05/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1021 BANDANA BLVD E
SUITE 214
SAINT PAUL MN, 55108-5113, US
Phone (651) 637-2960
Fax (651) 637-2961
Business Location
1021 BANDANA BLVD E
SUITE 200
SAINT PAUL MN, 55108-5113, US
Phone (651) 642-2700
Fax (651) 642-9441
Toxanomy
Taxonomy Code 363LG0600X
License State Minnesota
License Number R1409736
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According to our database, Momodou Ceesay GNP NPI is 1649438417, taxonomy code is 363LG0600X and license number is R1409736, license state is located at Minnesota. Momodou Ceesay GNP physically located at 1021 Bandana Blvd E, Saint Paul MN, 55108-5113. NPI Number Momodou Ceesay GNP has the Individual type.

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1649438417 NPI number is provided on an as is basis without warranty of any kind. 1649438417 is maintained by the National Plan & Provider Enumeration System. The contents of Momodou Ceesay GNP are for informational purposes only.