Individual
MR. ABEL O. BWIANCHINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 NICOLLET MALL, MINNEAPOLIS, MN 55403-2530
(612) 338-5215
Mailing address
6433 EDGEWOOD AVE N, BROOKLYN PARK, MN 55428-2518
(612) 298-7909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7019
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7019
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7019
CNP
MN
Enumeration date
10/20/2019
Last updated
06/09/2021
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