Provider Demographics
NPI:1801620075
Name:TOCARE WELLNESS CENTER, LLC
Entity type:Organization
Organization Name:TOCARE WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY/PSYCHIATRY NURSE PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:NASRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-C, PMHNP-BC
Authorized Official - Phone:952-393-0505
Mailing Address - Street 1:8001 33RD AVE S UNIT B431
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4651
Mailing Address - Country:US
Mailing Address - Phone:952-393-0505
Mailing Address - Fax:
Practice Address - Street 1:8001 33RD AVE S UNIT B431
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-4651
Practice Address - Country:US
Practice Address - Phone:952-393-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health