Individual
NAOMI ANN WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415
(612) 348-5553
Mailing address
525 PORTLAND AVE # MC963, MINNEAPOLIS, MN 55415-1533
(612) 348-5553
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1909715
MN
363LF0000X
Family Nurse Practitioner
Primary
5225
MN
Other
Enumeration date
07/08/2017
Last updated
10/22/2019
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