N&t Community Outreach Clinic LLC
NPI #1114892163 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1114892163
- Entity Type
- Organization
- Organization Name
- N&t Community Outreach Clinic LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Oct 9, 2025
- Last Updated
- Oct 9, 2025
Practice Location
- Address
- 20416 EVERTON TRL N
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-8161
- Phone
- (651) 470-3265
Authorized Official
- Name
- NEH FONCHAM
- Title
- OWNER
- Phone
- (651) 470-3265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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