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ROSE EKOBENA
NPI 1669201547
Nurse Practitioner - Psychiatric/Mental Health in Blaine, MN

Active since July 30, 2024
12044 TERRACE CT NE, BLAINE, MN 55434(612) 345-0572 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rose Ekobena NPPES

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

ROSE EKOBENA (NPI 1669201547) is an individual psychiatric/mental health provider in Blaine, Minnesota, licensed in Minnesota (11636) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1669201547
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameROSE EKOBENA
Location Address12044 TERRACE CT NEBlaine, MN 55434-3385
Mailing Address12044 Terrace Ct NeBlaine, MN 55434-3385 · (612) 345-0572
Phone(612) 345-0572
Sole ProprietorNo
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 26, 2024
✔ NPI 1669201547 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
License✔ Licensed in MN · 11636
12044 TERRACE CT NE, Blaine, MN 55434
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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 Rose Ekobena's NPI number?

The NPI number for Rose Ekobena is 1669201547. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Rose Ekobena located?

Rose Ekobena practices at 12044 Terrace Ct NE, Blaine, MN 55434. The listed phone number is (612) 345-0572.

What is Rose Ekobena'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 Rose Ekobena was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.