# MEWINZHA ONDAADIZIIKE WIIGAMING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619490893
- **Authorized official:** MILLICENT SIMENSON LPN (FOUNDER/PRESIDENT)
- **Authorized official phone:** (218) 556-1961

## Contact information

- **Practice address:** 802 PAUL BUNYAN DR S STE 12&13, BEMIDJI, MN 56601-3201
- **Practice address phone:** (218) 444-4323
- **Practice address fax:** (218) 444-7514
- **Mailing address:** 802 PAUL BUNYAN DR S STE 12, BEMIDJI, MN 56601-3204
- **Mailing address phone:** (218) 444-4323
- **Mailing address fax:** (218) 444-7514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | MN | — |
| 163WC0400X | Case Management Registered Nurse | — | MN | — |
| 163WC1500X | Community Health Registered Nurse | — | MN | — |
| 164W00000X | Licensed Practical Nurse | — | MN | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | R-158189-0 | MN | — |
| 363LC1500X | Community Health Nurse Practitioner | R-158189-0 | MN | — |
| 363LW0102X | Women's Health Nurse Practitioner | R-158189-0 | MN | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | R-158189-0 | MN | Yes |
| 374J00000X | Doula | — | MN | — |

## Other

- **Enumeration date:** 07/19/2017
- **Last updated:** 07/24/2023