Individual
ELIJAH MACHOGU MABURURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7601 36TH AVE N, NEW HOPE, MN 55427-2014
(952) 261-7522
Mailing address
7601 36TH AVE N APT 209, NEW HOPE, MN 55427-2070
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10248
MN
Other
Enumeration date
09/13/2025
Last updated
10/25/2025
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