Individual
NAOMI L. BERENDS
Active
Individual
NAOMI L. BERENDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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