Individual
NAOMI L. BERENDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4194 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 483-5461
(316) 689-9769
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-75580
KS
363LF0000X
Family Nurse Practitioner
Primary
12294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719162
MEDICARE
—
05
—
100291910D
—
KS
Enumeration date
08/17/2011
Last updated
04/14/2025
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