ZILLAH MULUBISHA (NPI# 1912447780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912447780 |
| Entity Type | Individual |
| Full Name | ZILLAH MULUBISHA |
| Practice Address |
Brooklyn Park Clinic 7650 Zane Ave N Minneapolis MN 55443 |
| Mailing Address |
701 Park Ave Minneapolis MN 55415-1623 |
| Practice Telephone | 6128730000 |
| Practice Fax Number | 6128731957 |
| Mailing Telephone | 6128730000 |
| Mailing Fax Number | 6128731957 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AG01170249 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BROOKLYN PARK CLINIC 7650 ZANE AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| 1588110225 | Kylie Ryan | Dietitian, Registered | 9409 Zane Ave North, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457381 | Lydia Nyakonu Sherman | Nurse Practitioner | 606 24th Ave S #620, Minneapolis, MN 55454 | 2017-03-06 |
| 1073163515 | Alissa Pool | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-09-17 |
| 1619525987 | Shafi Abdulle | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1194378117 | Habon Abdullahi Mohamed | Nurse Practitioner | 2711 E Franklin Ave, Minneapolis, MN 55406-1105 | 2019-07-18 |
| 1568014033 | Amy Skroch | Nurse Practitioner | 914 S 8th St, Minneapolis, MN 55404 | 2019-07-15 |
| 1104488162 | Natalie Rose Reker | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2019-06-30 |
| 1245899285 | Gladys Ndip | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-06-12 |
| 1073071239 | Nice Healthcare LLC | Nurse Practitioner | 721 Quincy St Ne, Minneapolis, MN 55413-2317 | 2019-03-06 |
| 1306340898 | Katherine Malmer | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455 | 2018-03-20 |
| 1881135283 | Richard Leander Traut II | Nurse Practitioner | 9300 Noble Pkwy N, Minneapolis, MN 55443-5500 | 2017-03-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55443 |
Please comment or provide details below to improve the information on ZILLAH MULUBISHA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.