Individual
KUMBA UMU SOGBEH KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1600 SAINT JOHNS BLVD STE 200, MAPLEWOOD, MN 55109-1190
(651) 326-4327
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R166069-8
MN
363L00000X
Nurse Practitioner
4426
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
4426
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
868K1CA
BCBS
MN
Enumeration date
01/31/2011
Last updated
10/14/2025
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