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Contact Information

OGBITSE M ATAKE, NP-C
409 DUNLAP ST N
SAINT PAUL, MN55104-4201
 Phone: 651-290-9211
 Fax: 651-290-9210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for OGBITSE M ATAKE · (Female)

NPI Number 1942673447
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 11/05/2015
Last updated 10/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 4123
  • MN License # CNP 4123
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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