Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forever Young Two Medical and Skincare

Organization Nurse Practitioner · NPI 1023979598

Forever Young Two Medical and Skincare is a Nurse Practitioner in Waite Park, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

223 3rd St NE
Waite Park, MN 56387-1271
Phone: (763) 272-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1023979598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Brinkman — Owner · (763) 272-1500
NPI enumeratedNovember 22, 2025
Last updated in NPPESNovember 22, 2025
Certification dateNovember 22, 2025
Mailing address223 3rd St Ne, Waite Park, MN 56387-1271

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