Mrs. Truphena Obonyo-Omboga
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
701 Park Ave
Minneapolis
, Minnesota 55415-1623
Mrs. Truphena Obonyo-Omboga
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
701 Park Ave
Minneapolis
, Minnesota 55415-1623
(651) 497-6096
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Truphena Obonyo-Omboga
- 6581 Clover Cir S
- Cottage Grove, MN
- Zip : 55016-4475
- Phone : (651) 497-6096
Second Address
- Mrs. Truphena Obonyo-Omboga
- 701 Park Ave
- Minneapolis, MN
- Zip : 55415-1623
- Phone : (612) 873-3233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 6152 | MN |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 6152 | MN |
National Provider Identifier
| NPI | 1013488675 |
|---|---|
| Provider Name | Mrs. Truphena Obonyo-Omboga |
| First Address | Cottage Grove, MN 55016-4475 |
| Second Address | Minneapolis, MN 55415-1623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2018 |
| Last Update Date | 07/12/2018 |
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.