MR. ABEL O. BWIANCHINGA (NPI# 1043853336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043853336 |
| Entity Type | Individual |
| Full Name | MR. ABEL O. BWIANCHINGA |
| Practice Address |
13603 80th Cir N Maple Grove MN 55369-8961 |
| Mailing Address |
6433 Edgewood Ave N Brooklyn Park MN 55428-2518 |
| Practice Telephone | 7632843706 |
| Practice Fax Number | 7632743121 |
| Mailing Telephone | 6122987909 |
| Enumeration Date | 2019-10-20 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7019 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CNP | 7019 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 W Alcott Ave, Fergus Falls, MN 565372661 | 2183325001 |
| Street Address |
13603 80TH CIR N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-8961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
| 1649897356 | Christopher Cutler Dozier Jr. | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2020-06-29 |
| 1336782408 | Diane Branson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-10-22 |
| 1376191940 | Lisa Landen Thompson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-08-28 |
| 1164079919 | Grant Soe | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-08-26 |
| 1528628872 | Anna Thelen | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-06-18 |
| 1801452768 | Steven Clifford Strickland | Psychologist | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-05-16 |
| 1710543129 | Lauren Ashley Lindquist | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-05-13 |
| 1225691868 | Ho Kwan Lok | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-04-18 |
| 1215494158 | Jason Martin Samudio | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846740 | Elizabeth A Braun | Nurse Practitioner | 11280 86th Ave N, Maple Grove, MN 55369-4510 | 2020-09-20 |
| 1881147106 | Ian Thomas Skare | Nurse Practitioner | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2016-08-03 |
| 1346611266 | Karl Olson | Nurse Practitioner | 11334 86th Ave N, Maple Grove, MN 55369-4528 | 2015-10-19 |
| 1346529922 | Charlotte Szabo | Nurse Practitioner | 11334 86th Ave N, Maple Grove, MN 55369-4528 | 2011-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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| 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.