FAVORGRACE WELLNESS CLINIC
NPI 1114818341
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn Center, MN

Active since July 15, 2025
6160 SUMMIT DR N STE 231, BROOKLYN CENTER, MN 55430(612) 570-0747 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Favorgrace Wellness Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAVORGRACE WELLNESS CLINIC (NPI 1114818341) is a healthcare organization registered as a psychiatric/mental health in Brooklyn Center, Minnesota and active in the NPI registry since July 2025. The organization lists Favorgrace Nagbe, Owner, as its authorized official.

NPPES Registry Identity

NPI1114818341
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFAVORGRACE WELLNESS CLINIC
Location Address6160 SUMMIT DR N STE 231Brooklyn Center, MN 55430-2118
Mailing Address6160 Summit Dr N Ste 231Brooklyn Center, MN 55430-2118
Organization SubpartNo
Authorized OfficialFavorgrace NagbeOwner · (612) 570-0747
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
NPI 1114818341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
6160 SUMMIT DR N STE 231, Brooklyn Center, MN 55430

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Psychiatric/Mental Health)
6160 SUMMIT DR N STE 231
BROOKLYN CENTER, MN 55430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Favorgrace Wellness Clinic's NPI number?

The NPI number for Favorgrace Wellness Clinic is 1114818341. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is Favorgrace Wellness Clinic located?

Favorgrace Wellness Clinic is located at 6160 Summit Dr N Ste 231, Brooklyn Center, MN 55430. The listed phone number is (612) 570-0747.

What is Favorgrace Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Favorgrace Wellness Clinic was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.