MEWINZHA ONDAADIZIIKE WIIGAMING NPI 1619490893

NPI Information

NPI: 1619490893
Provider Name: MEWINZHA ONDAADIZIIKE WIIGAMING
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Organization

Specialization: Obstetrics & Gynecology

CLIA Number: 24D2129302

Address:
802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN
ZIP 56601
Phone: (218) 444-4323
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MEWINZHA ONDAADIZIIKE WIIGAMING is an obstetrics and gynecology nurse practitioner in Bemidji, MN. MEWINZHA ONDAADIZIIKE WIIGAMING NPI is 1619490893. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

802 PAUL BUNYAN DR S STE 12&13
BEMIDJI, MN
ZIP 56601-201
Phone: (218) 444-4323
Fax: (218) 444-7514

The provider's authorized official is Millicent Simenson .
The authorized official title is Founder/president and has the following contact phone number (218) 556-1961.

The CLIA number assigned to this NPI record is 24D2129302 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2017 and was last updated on 7/24/2023.

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
1	163W00000X	Registered Nurse			MINNESOTA	No
2	163WC0400X	Registered Nurse	Case Management		MINNESOTA	No
3	163WC1500X	Registered Nurse	Community Health		MINNESOTA	No
4	164W00000X	Licensed Practical Nurse			MINNESOTA	No
5	2083P0901X	Preventive Medicine	Public Health & General Preventive Medicine	R-158189-0	MINNESOTA	No
6	363LC1500X	Nurse Practitioner	Community Health	R-158189-0	MINNESOTA	No
7	363LW0102X	Nurse Practitioner	Women's Health	R-158189-0	MINNESOTA	No
8	374J00000X	Doula			MINNESOTA	No
9	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	R-158189-0	MINNESOTA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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