Nyamari, Simon Momanyi

Nyamari, Simon Momanyi is an sole proprietor health care provider with primary practice located at 1705 Southcross Dr W Ste 105 , Burnsville MN 55306-7012. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Nyamari, Simon Momanyi can be contacted via phone (952) 683-1628.

Contact Information

Primary practice address
1705 Southcross Dr W Ste 105 Burnsville MN 55306-7012
Phone: (952) 683-1628
Fax: (952) 683-1629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R1704787 Minnesota

Profile Details

NPI number 1780219121
LBN Legal business name Nyamari, Simon Momanyi
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2020
Last updated Mar 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780219121 NPPES
Minnesota Other A836410600 MA CADI WAIVER
Minnesota Other A116450100 MA CADI WAIVER

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