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Contact Information

WALTER O NYABERE, NP
8421 W BROADWAY AVE
BROOKLYN PARK, MN55445
 Phone: 952-212-0911
 Fax: 651-300-1956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WALTER O NYABERE · (Male)

NPI # 1467704528
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/12/2012
Last updated 05/15/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 0956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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