Balm of Gilead Healthcare LLC
NPI #1730889882 in East Grand Forks, Minnesota
Provider Information
- NPI Number
- 1730889882
- Entity Type
- Organization
- Organization Name
- Balm of Gilead Healthcare LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 7, 2023
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1618 CENTRAL AVE NE
- City
- East Grand Forks
- State
- Minnesota
- ZIP Code
- 56721-1335
- Phone
- (218) 779-9437
Authorized Official
- Name
- MULUH FONGWI FONGWI LADUNA FONDONG
- Title
- PARTNER
- Phone
- (218) 779-9437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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|---|---|
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