Organization
MEWINZHA ONDAADIZIIKE WIIGAMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLICENT SIMENSON LPN (FOUNDER/PRESIDENT)
(218) 556-1961
Entity
Organization
Contact information
Practice address
802 PAUL BUNYAN DR S STE 12&13, BEMIDJI, MN 56601-3201
(218) 444-4323
(218) 444-7514
Mailing address
802 PAUL BUNYAN DR S STE 12, BEMIDJI, MN 56601-3204
(218) 444-4323
(218) 444-7514
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
R-158189-0
MN
374J00000X
Doula
—
MN
Other
Enumeration date
07/19/2017
Last updated
07/24/2023
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