Minnesota Holistic Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINNESOTA HOLISTIC CLINIC LLC

Practice address

25282 Hazelwood Dr Unit 1
Nisswa, MN 56468-2797

Phone

(651) 410-7955

NPI assigned

Aug 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

April Starllone, PMHNPNPI 1720606379

Title

Ceo

Phone

(651) 410-7955

Specialties & licenses 1

Addresses

Other names 1

• Minnesota Holistic Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• April Starllone, CNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbury, MN
  • NPI 1720606379
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1447925755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25282 HAZELWOOD DR UNIT 1",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682797",
            "telephone_number": "651-410-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25282 HAZELWOOD DR UNIT 1",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682797",
            "telephone_number": "651-410-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA HOLISTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "STARLLONE",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-410-7955",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Holistic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angie Jean Monson, M.S. LMFT
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• Nis Pharmacy Services, LTD
• Nisswa Dental

• Psychiatric/Mental Health Nurse Practitioner in Nisswa, MN
• Providers in Nisswa, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.