Individual provider · Type 1 NPI

Zillah Mulubisha

Primary Care Nurse Practitioner · Coon Rapids, MN

NPI number 1912447780 Active

Practice location

3776 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629

Fax (763) 340-1444

Mailing address

2529 132nd Ln NW
Coon Rapids, MN 55448-1205

Other practice locations

  • Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 · (612) 873-0000

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAG01170249 (MN)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1912447780

Zillah Mulubisha's National Provider Identifier is 1912447780, issued on Feb 27, 2017. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Coon Rapids, MN. The record was last updated on Jun 23, 2026.