Most Relevant Information
Provider Data
| NPI Number: | 1003059478 |
| Provider Name: | MAVIS OSEI YEBOAH NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 5004181 |
Most Important Dates
| Enumeration Date: | 04/14/2009 |
| Last Updated: | 06/29/2020 |
Provider Practice Location
9900 BREN RD E
MINNETONKA
MN
553439664
Practice Location Phone/Fax
| Phone: | 3365496221 |
| Fax: |
Provider Mailing Location
9900 BREN RD E
MINNETONKA
MN
553439664
Provider Mailing Phone/Fax
| Phone: | 8552478474 |
| Fax: |