Imani Dyrdahl, BSN, PHN

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

231773-3 Issued in MN

Practice address

333 Smith Ave N
Saint Paul, MN 55102-2344

Phone

(612) 231-6442

NPI assigned

Jun 17, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1104751445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 BIRMINGHAM ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094508",
            "telephone_number": "612-231-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022344",
            "telephone_number": "612-231-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYRDAHL",
        "first_name": "IMANI",
        "credential": "BSN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "MN",
            "license": "231773-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maternal Newborn Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Maternal Newborn Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.