MRS. DESIREE NZOUANGO ROSANT NP
NPI 1679094494
Nurse Practitioner - Family in Minnetonka, MN
Active since July 01, 2017
About Mrs. Desiree Nzouango Rosant Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DESIREE NZOUANGO ROSANT NP (NPI 1679094494) is an individual family provider in Minnetonka, Minnesota, licensed in Georgia (125321) and active in the NPI registry since July 2017. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1679094494
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DESIREE NZOUANGO ROSANTCredential: NP
Location Address9900 BREN RD EMinnetonka, MN 55343-9664
Mailing AddressPo Box 1459Minneapolis, MN 55440-1459
Phone(855) 247-8474
Sole ProprietorNo
Enumeration DateJuly 1, 2017
Last NPPES UpdateNovember 18, 20204 updates tracked since enumeration
NPPES CertifiedNovember 15, 2020
✔ NPI 1679094494 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 125321
9900 BREN RD E, Minnetonka, MN 55343
Secondary Practice Locations 2
Location 11300 Tiger BlvdClemson, SC 29631-1114 · Phone (401) 770-1731
Location 22429 Martin Luther King Jr Dr SWAtlanta, GA 30311-1713 · Phone (404) 961-9580 · Fax (404) 691-7205
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Geriatric Medicine)
9900 BREN RD E, MN008-W130
MINNETONKA, MN 55343
MINNETONKA, MN 55343
Durable Medical Equipment & Medical Supplies
9900 BREN RD E
MINNETONKA, MN 55343
MINNETONKA, MN 55343
Durable Medical Equipment & Medical Supplies
9900 BREN RD E, EMERGING BUSINESSES GROUP
MINNETONKA, MN 55343
MINNETONKA, MN 55343
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679094494, enumerated as an "individual" on July 01, 2017.
The provider is located at 9900 BREN RD E MINNETONKA, MN 55343 and the phone number is (855) 247-8474.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.