Individual provider · Type 1 NPI
Imani Dyrdahl, BSN, PHN
Maternal Newborn Registered Nurse · St. Paul, MN
NPI number
1104751445
Active
Practice location
333 Smith Ave N
St. Paul, MN 55102-2344
Mailing address
1745 Birmingham St
Maplewood, MN 55109-4508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Maternal Newborn Registered Nurse Primary | 163WM0102X | 231773-3 (MN) |
Maternal Newborn Registered Nurse: Definition to come...
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About NPI 1104751445
Imani Dyrdahl, BSN, PHN's National Provider Identifier is 1104751445, issued on Jun 17, 2026. The primary taxonomy on file is Maternal Newborn Registered Nurse (163WM0102X), and the practice location is in St. Paul, MN. The record was last updated on Jun 17, 2026.