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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SAMUEL MORACHA BIRUNDU, CNP

Active

MR. SAMUEL MORACHA BIRUNDU, CNP is a Primary Care Nurse Practitioner healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1225430317 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · ST LOUIS PARK, MN

Registration Details

NPI Number
1225430317
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2014 (11.864687177994 yrs)
Last Updated
Sep 22, 2014
License
R 157904-8 (MN)

Practice Information

Address
5861 CEDAR LAKE RD S
ST LOUIS PARK, MN, 554161653
Browse MN providers · Browse ZIP 55416
Phone
7635441000
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in ST LOUIS PARK, MN

Name Credential NPI
LYDIA NYAKONU SHERMAN CNP 1013457381
ASHLEY LUANNE KAY BROWN DNP 1962278713
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.