Individual provider · Type 1 NPI
Heduik Mah Cho-Mofor, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI number
1407533722
Active
Practice location
4027 County Road 25
Minneapolis, MN 55416-2629
Fax (612) 925-8496
Mailing address
4240 Park Glen Rd
St. Louis Park, MN 55416-5427
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2469645 (MN) |
| Registered Nurse | 163W00000X | 146254 (IA) |
| Registered Nurse | 163W00000X | 1089189 (TX) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G175498 (IA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10389 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1407533722
Heduik Mah Cho-Mofor, MSN, PMHNP-BC's National Provider Identifier is 1407533722, issued on Jun 28, 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 Aug 28, 2023.