Provider Demographics
NPI:1366230641
Name:NURTURED PSYCHIATRY LLC
Entity type:Organization
Organization Name:NURTURED PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:F
Authorized Official - Last Name:RIH-REH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:651-318-6055
Mailing Address - Street 1:7655 61ST ST S
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-6004
Mailing Address - Country:US
Mailing Address - Phone:651-318-6055
Mailing Address - Fax:651-318-6577
Practice Address - Street 1:393 DUNLAP ST N STE 400A
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-4235
Practice Address - Country:US
Practice Address - Phone:651-318-6055
Practice Address - Fax:651-318-6577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty