Healthcare Provider Details

I. General information

NPI: 1093862732
Provider Name (Legal Business Name): APRIL LETA WOLFSON RN, CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL LETA BROWN BSN, MN, PMH-NP

II. Dates (important events)

Enumeration Date: 01/04/2007
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 MARSCHALL RD # 350
SHAKOPEE MN
55379-1687
US

IV. Provider business mailing address

327 MARSCHALL RD # 350
SHAKOPEE MN
55379-1687
US

V. Phone/Fax

Practice location:
  • Phone: 651-769-6500
  • Fax:
Mailing address:
  • Phone: 651-769-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number1919802
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2084
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: