CLIFF NYAKUNDI NTENGA NP NPI 1124846217

NPI Information

  • NPI: 1124846217
  • Provider Name: CLIFF NYAKUNDI NTENGA, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 11266 CREEKSIDE TRL
    MAPLE GROVE, MN
    ZIP 55311
  • Phone: (763) 300-7637

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NPI Details

Cliff Nyakundi Ntenga, NP is a psychiatric/mental health nurse practitioner in Maple Grove, MN. Cliff Nyakundi Ntenga, NP NPI is 1124846217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11266 CREEKSIDE TRL
MAPLE GROVE, MN
ZIP 55311-700
Phone: (763) 300-7637

The enumeration date for this NPI number is 9/28/2024 and was last updated on 9/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health12115MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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