JUDITH MORAA WANYAMA NP-C NPI 1265977466

NPI Information

  • NPI: 1265977466
  • Provider Name: JUDITH MORAA WANYAMA, NP-C
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1801 NICOLLET AVE
    MINNEAPOLIS, MN
    ZIP 55403
  • Phone: (612) 823-2947

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NPI Details

Judith Moraa Wanyama, NP-C is a nurse practitioner in Minneapolis, MN with 12 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Judith Moraa Wanyama, NP-C NPI is 1265977466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55403-791
Phone: (612) 823-2947

The NPI 1265977466 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/23/2016 and was last updated on 9/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerC4935MINNESOTANo
2363LF0000XNurse PractitionerFamilyAPN.0992867-NPCOLORADONo
3363L00000XNurse PractitionerCNP4935MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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