Shifting Focus
Nurse Practitioner, Psych/Mental Health in Waite Park, MN. Organization (NPI-2).
NPI number1083177794
StatusActive
Last updated in NPPESJul 29, 2019
Details
- NPI
- 1083177794
- Entity type
- Organization (NPI-2)
- Legal business name
- Shifting Focus
- Organization subpart
- No
- Enumeration date
- Apr 9, 2019
- Last updated
- Jul 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
408 Great Oak Dr # 408aWaite Park, MN 56387-2504
Phone 320-385-1010 · Fax 320-295-7906
Mailing address
408 Great Oak Dr # 408aWaite Park, MN 56387-2504
Phone 320-385-1010 · Fax 320-295-7906
Other practice locations
400 1st St S Ste 600
Saint Cloud, MN 56301-3006
Saint Cloud, MN 56301-3006
Phone 320-385-1010
Authorized official
Elysia Peterson
Psychiatric Nurse Practitioner
3203851010
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