Lifespan Psychiatry and Wellness Limited Liability Limited Partnership
NPI #1427840313 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1427840313
- Entity Type
- Organization
- Organization Name
- Lifespan Psychiatry and Wellness Limited Liability Limited Partnership
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 19, 2025
- Last Updated
- May 19, 2025
Practice Location
- Address
- 3800 AMERICAN BLVD W STE 1500
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-4429
- Phone
- (206) 250-7034
Authorized Official
- Name
- FADUMO I OMAR, ARNP
- Title
- CO-OWNER/PARTNER
- Phone
- (206) 250-7034
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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