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Mr. Edwin Moenga Barake
Home Health Registered Nurse in Coon Rapids, Minnesota
NPI 1013540392

Edwin Moenga Barake is a Home Health Registered Nurse based in Coon Rapids, MN and is specialized in Home Health. Edwin Moenga Barake practices in Coon Rapids, MN. The NPI Number for Edwin Moenga Barake is 1013540392 and holds a License No. 1801761 (Minnesota).

The current practice location address for Edwin Moenga Barake is 11032 Swallow St Nw, Coon Rapids, MN and can be reached out via phone at 612-730-7706.

Location: 11032 Swallow St Nw, Coon Rapids, MN, 55433-4164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013540392
Provider Name
Edwin Moenga Barake
Credential
Provider Entity Type
Individual
Gender
Male
Address
11032 Swallow St Nw, Coon Rapids, MN, 55433-4164
Phone Number
612-730-7706
Fax Number
Provider Enumeration Date
02/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11032 Swallow St Nw
City
Coon Rapids
State
Minnesota
Zip
55433-4164
Phone Number
612-730-7706
Fax Number
person
Provider Business Mailing Address Details
Address
11032 Swallow St Nw
City
Coon Rapids
State
Minnesota
Zip
55433-4164
Phone Number
612-730-7706
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
1801761 (Minnesota)
Definition
Definition to come...
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