Individual provider · Type 1 NPI

Bernice Mamana

Home Health Registered Nurse · Lakeville, MN

NPI number 1396500369 Active

Practice location

10805 173rd St W
Lakeville, MN 55044-5335

Call (612) 247-0031 Map

Mailing address

10805 173rd St W Apt 220
Lakeville, MN 55044-5340

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X2491111 (MN)

Home Health Registered Nurse: Definition to come...

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About NPI 1396500369

Bernice Mamana's National Provider Identifier is 1396500369, issued on Feb 19, 2024. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Lakeville, MN. The record was last updated on Feb 19, 2024.