Healthcare Provider Details

I. General information

NPI: 1437875853
Provider Name (Legal Business Name): RICK HUEWE-VOGEN CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 ZANE AVE N
BROOKLYN PARK MN
55443-1814
US

IV. Provider business mailing address

2814 CHURCHILL ST
ROSEVILLE MN
55113-2004
US

V. Phone/Fax

Practice location:
  • Phone: 952-715-6813
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9599
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: