Individual
NAOMI MAANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 25TH AVE N, SAINT CLOUD, MN 56303-3255
(320) 202-1909
Mailing address
524 25TH AVE N, SAINT CLOUD, MN 56303-3255
(320) 202-1909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10192
MN
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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