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N&T COMMUNITY OUTREACH CLINIC LLC
NPI 1114892163
Nurse Practitioner - Psychiatric/Mental Health in Forest Lake, MN

Active since October 09, 2025
20416 EVERTON TRL N, FOREST LAKE, MN 55025(651) 470-3265 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About N&t Community Outreach Clinic Llc NPPES

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

N&T COMMUNITY OUTREACH CLINIC LLC (NPI 1114892163) is a healthcare organization registered as a psychiatric/mental health in Forest Lake, Minnesota and active in the NPI registry since October 2025. The organization lists Neh Foncham, Owner, as its authorized official.

NPPES Registry Identity

NPI1114892163
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameN&T COMMUNITY OUTREACH CLINIC LLC
Location Address20416 EVERTON TRL NForest Lake, MN 55025-8161
Mailing Address20416 Everton Trl NForest Lake, MN 55025-8161 · (651) 470-3265
Phone(651) 470-3265
Organization SubpartNo
Authorized OfficialNeh FonchamOwner · (651) 470-3265
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1114892163 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
20416 EVERTON TRL N, Forest Lake, MN 55025
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

NEH BUMA FONCHAM PSYCHIATRIC NP
Nurse Practitioner (Psychiatric/Mental Health)
20416 EVERTON TRL N
FOREST LAKE, MN 55025
Washington County (651) 470-3265

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 N&t Community Outreach Clinic LLC's NPI number?

The NPI number for N&t Community Outreach Clinic LLC is 1114892163. It was assigned to this organization in the NPPES registry on October 9, 2025.

Where is N&t Community Outreach Clinic LLC located?

N&t Community Outreach Clinic LLC is located at 20416 Everton Trl N, Forest Lake, MN 55025. The listed phone number is (651) 470-3265.

What is N&t Community Outreach Clinic LLC'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 N&t Community Outreach Clinic LLC was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.