Haron Nyakundi Manwa
Nurse Practitioner - Psychiatric/Mental Health
3301 7th Ave
Anoka
, Minnesota 55303-4516
Haron Nyakundi Manwa
Nurse Practitioner - Psychiatric/Mental Health
3301 7th Ave
Anoka
, Minnesota 55303-4516
(612) 532-6404
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Haron Nyakundi Manwa
- 7223 114th Ln N
- Champlin, MN
- Zip : 55316-2860
- Phone : (612) 532-6404
Second Address
- Haron Nyakundi Manwa
- 3301 7th Ave
- Anoka, MN
- Zip : 55303-4516
- Phone : (651) 431-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 6804 | MN |
National Provider Identifier
| NPI | 1003461864 |
|---|---|
| Provider Name | Haron Nyakundi Manwa |
| First Address | Champlin, MN 55316-2860 |
| Second Address | Anoka, MN 55303-4516 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2019 |
| Last Update Date | 07/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.