Individual provider · Type 1 NPI
Raphael Omoto, CNP
Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI number
1245939495
Active
Practice location
2215 E Lake St
Minneapolis, MN 55407-4385
Mailing address
7420 Unity Ave N Ste 310C
Brooklyn Park, MN 55443-3162
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9968 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
23 other providers at this address
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About NPI 1245939495
Raphael Omoto, CNP's National Provider Identifier is 1245939495, issued on Feb 27, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 2, 2026.