Individual provider · Type 1 NPI

Elijah Machogu Mabururu

Psychiatric/Mental Health Nurse Practitioner · New Hope, MN

NPI number 1720959836 Active

Practice location

7601 36th Ave N
New Hope, MN 55427-2014

Mailing address

7601 36th Ave N Apt 209
New Hope, MN 55427-2070

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10248 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1720959836

Elijah Machogu Mabururu's National Provider Identifier is 1720959836, issued on Sep 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Hope, MN. The record was last updated on Oct 25, 2025.