Neh Buma Foncham, PSYCHIATRIC NP
NPI #1811768088 in Forest Lake, Minnesota
Provider Information
- NPI Number
- 1811768088
- Entity Type
- Individual
- Name
- Neh Buma Foncham, PSYCHIATRIC NP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- PSYCHIATRIC NP
- Enumeration Date
- Jan 15, 2024
- Last Updated
- Jan 15, 2024
Practice Location
- Address
- 20416 EVERTON TRL N
- City
- Forest Lake
- State
- Minnesota
- ZIP Code
- 55025-8161
- Phone
- (651) 470-3265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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