MS. MULU EDESSA (NPI# 1972005254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972005254 |
| Entity Type | Individual |
| Full Name | MS. MULU EDESSA |
| Practice Address |
3803 E 54th St Minneapolis MN 55417-2240 |
| Practice Telephone | 6125980064 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 817554 | MN | Nursing Service Providers |
| Street Address |
3803 E 54TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891132320 | Jacquelyn Darlene Mccraney | Licensed Practical Nurse | 3717 10th Ave S, Minneapolis, MN 55407-4615 | 2013-05-23 |
| 1558389403 | Kim Arcand | Licensed Practical Nurse | 606 24th Ave S Ste 200, Minneapolis, MN 55454-1437 | 2006-07-18 |
| 1447866975 | Sarah Bergstrand | Licensed Practical Nurse | 2518 1st Ave S, Minneapolis, MN 55404-4317 | 2020-09-21 |
| 1083224737 | Sydne Adams | Licensed Practical Nurse | 2200 1st Ave S, Minneapolis, MN 55404-3401 | 2020-08-07 |
| 1336787076 | Rachel Cooke | Licensed Practical Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2019-12-12 |
| 1932747854 | Thomas Daniel Geary | Licensed Practical Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2019-12-11 |
| 1013553965 | Brian Moen | Licensed Practical Nurse | 433 S 7th St Apt 1923, Minneapolis, MN 55415-1642 | 2019-11-25 |
| 1104368190 | Yasmin Farah | Licensed Practical Nurse | 951 Lowry Ave Ne Apt 304, Minneapolis, MN 55418-1913 | 2016-11-08 |
| 1316498686 | Taylor Braaten | Licensed Practical Nurse | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2016-10-20 |
| 1164896544 | Charlie Dillon | Licensed Practical Nurse | 245 Clifton Ave, Minneapolis, MN 55403-3467 | 2015-11-22 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on MS. MULU EDESSA.
| 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.