PASCALINE MAMBO NDIFOR SUHFOR


Address: 249 Winona St W, Saint Paul, MN 55107-3562
Phone: 6512065213

PASCALINE MAMBO NDIFOR SUHFOR (NPI# 1861007288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861007288
Entity Type Individual
Full Name PASCALINE MAMBO NDIFOR SUHFOR
Practice Address 249 Winona St W
Saint Paul
MN 55107-3562
Practice Telephone 6512065213
Mailing Telephone 6512065213
Enumeration Date 2020-09-11
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
1809161 MN Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN NURSING 1809161 01

Office Location

Street Address 249 WINONA ST W
City SAINT PAUL
State MN
Zip Code 55107-3562

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NPI Name Taxonomy Address Enumeration
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1376748574 Mary E. A. Horoshak Physical Therapist 155 S Wabasha St, Suite 130, St. Paul, MN 55107 2007-06-18
1821156050 Amherst H. Wilder Foundation Assisted Living Facility 469 Ada St, Saint Paul, MN 55107 2006-12-04
1407914674 Amherst H. Wilder Foundation Clinic/Center 516 Humboldt Ave, Saint Paul, MN 55107 2006-12-04
1780753681 Chad Randal Vickers Nurse Practitioner 135 Colorado Street East, Saint Paul, MN 55107 2006-11-06
1225122872 Elizabeth E Frost Family Medicine 153 Cesar Chavez Street, St Paul, MN 55107 2006-10-03
1215457890 Elizabeth Smith Zaremba Dietitian, Registered 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 2017-06-23
1619413606 Elizabeth Burgos Social Worker 153 Cesar Chavez St, Saint Paul, MN 55107 2017-01-13
1033561915 Isetta Pierre Marriage & Family Therapist 153 Cesar Chavez St, Saint Paul, MN 55107 2016-07-05
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1285282541 Shana Hall Registered Nurse 1784 Lacrosse Ave, Saint Paul, MN 55119-4808 2019-08-29
1770034134 Johnna Ann Vanboxel Registered Nurse 680 Stewart Ave, Saint Paul, MN 55102-4117 2016-10-20
1235519919 Katherine Eldred Registered Nurse 317 York Ave, Saint Paul, MN 55130-4039 2015-06-08
1720363039 Julie Marcene Stulz Registered Nurse 408 Saint Peter St, Ste 429, Saint Paul, MN 55102-1130 2011-10-18
1740422161 Christine Ann Eaton Registered Nurse 1821 University Ave W Ste N464, Saint Paul, MN 55104-2801 2009-03-31
1598927246 Barbara Kay Blue Registered Nurse 1600 University Ave W Ste 12, Saint Paul, MN 55104-3898 2008-06-25

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NPI Name Taxonomy Address Enumeration
1790320372 Afolake A. Adewumi Registered Nurse 6852 Folkestone Rd, Apple Valley, MN 55124-5625 2019-11-07
1437619988 Marjean Diane Leary Registered Nurse 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 2019-03-21
1164816260 Andrea Mary Groves Registered Nurse 10210 Portland Ave S, Bloomington, MN 55420-5432 2015-03-26
1366712614 Sheila Hennen Registered Nurse Ridgeview Delano Clinic, 916 St. Peter Ave., Delano, MN 55328 2012-01-04
1356642144 Paul Jay Seese II Registered Nurse 1211 E 5th St, Duluth, MN 55805-2314 2010-11-09
1487870481 Cynthia Gail Wittwer Registered Nurse 30487 County Highway 1, Redwood Falls, MN 56283-2802 2007-04-18
1225056195 Patricia Ann Palecek Registered Nurse 5625 Hansen Rd, Edina, MN 55436-2403 2006-07-18
1740267491 Nancy Westman Registered Nurse Reed Psychological Services, Pllc, 14525 Hwy 7, Suite 255, Minnetonka, MN 55345 2005-12-23
1578187084 Marcia Wahl Registered Nurse 2220 Riverside Ave, Minneapolis, MN 55454-1321 2020-05-31
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Competitor

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City SAINT PAUL
Zip Code 55107

Improve Information

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Dataset Information

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.

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