Azie Judith Khan
NPI #1265012629 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1265012629
- Entity Type
- Individual
- Name
- Azie Judith Khan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Apr 10, 2021
- Last Updated
- Apr 10, 2021
Practice Location
- Address
- 7211 208TH CIR N
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-2903
- Phone
- (515) 918-3955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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