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

CLARIBELL EZENNIA

Deactivated Sole Proprietor

CLARIBELL EZENNIA is a Early Intervention Provider Agency healthcare provider located in SHAKOPEE, Minnesota. NPI 1497639140 is deactivated in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · SHAKOPEE, MN

This NPI has been deactivated. The record was deactivated on August 16, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1497639140
Provider Type
Individual
Gender
Female
NPI Issued
Aug 5, 2025 (0.03013698630137 yrs)
Last Updated
Sep 11, 2025
Deactivated
Aug 16, 2025
Sole Proprietor
Yes

Practice Information

Address
1240 3RD AVE E STE 100
SHAKOPEE, MN, 553791679
Browse MN providers · Browse ZIP 55379
Phone
9527774996
Primary Specialty
Early Intervention Provider Agency
252Y00000X
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.