Individual
NAOMI B MACHUNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5200 DOUGLAS DR N, CRYSTAL, MN 55429-3104
(763) 400-3628
(763) 342-4183
Mailing address
2004 FORD PKWY, SAINT PAUL, MN 55116-1931
(612) 256-8225
(612) 457-0216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8524
MN
Other
Enumeration date
03/10/2022
Last updated
11/07/2025
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