Provider Demographics
NPI:1710949672
Name:HAPKE, YOSHIKO NAKAGAWA (MD)
Entity Type:Individual
Prefix:
First Name:YOSHIKO
Middle Name:NAKAGAWA
Last Name:HAPKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YOSHIKO
Other - Middle Name:
Other - Last Name:NAKAGAWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1930 COON RAPIDS BLVD
Mailing Address - Street 2:FAMILY LIFE MENTAL HEALTH CENTER
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433
Mailing Address - Country:US
Mailing Address - Phone:763-746-9583
Mailing Address - Fax:763-746-9597
Practice Address - Street 1:1930 COON RAPIDS BLVD
Practice Address - Street 2:FAMILY LIFE MENTAL HEALTH CENTER
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433
Practice Address - Country:US
Practice Address - Phone:763-427-7964
Practice Address - Fax:763-427-7976
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN400022084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN83G37HAOtherBCBS
HP32850OtherHEALTH PARTNERS
MN1025079OtherPREFERRED ONE
1554184OtherUBH
16442OtherUCARE
G98867Medicare UPIN