Miteku Desalgne, NP
Nurse Practitioner, Family in Hastings, MN. Individual provider (NPI-1).
NPI number1164028296
StatusActive
Last updated in NPPESAug 20, 2024
Details
- NPI
- 1164028296
- Entity type
- Individual (NPI-1)
- Name
- Miteku Desalgne
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 4, 2020
- Certification date
- Aug 20, 2024
- Last updated
- Aug 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 8215 | MN | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209022406 | IL |
Practice location
1880 N Frontage RdHastings, MN 55033-2687
Phone 651-438-1800 · Fax 651-438-1837
Mailing address
2925 Chicago AveMinneapolis, MN 55407-1321
Phone 612-262-5000
Other practice locations
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