Individual provider · Type 1 NPI

Fadumo H. Hersi

Women's Health Nurse Practitioner · Minneapolis, MN

NPI number 1356053292 Active

Practice location

3270 W Lake St
Minneapolis, MN 55416-4512

Fax (612) 775-1805

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808X9818 (MN)
Women's Health Nurse Practitioner Primary 363LW0102X9818 (MN)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1356053292

Fadumo H. Hersi's National Provider Identifier is 1356053292, issued on Dec 22, 2022. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 23, 2026.