Individual provider Active NPI

Marjacha Mbah Christina, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1326943309
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14694 Issued in MN
Practice address
11557 Woodside Dr
Maple Grove, MN 55311-1115
Phone
(952) 270-2028
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14694 MN Primary

Addresses

Primary practice location

11557 Woodside Dr
Maple Grove, MN 55311-1115

Mailing address

11557 Woodside Dr
Maple Grove, MN 55311-1115
Phone (952) 270-2028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1326943309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11557 WOODSIDE DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111115",
            "telephone_number": "952-270-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11557 WOODSIDE DR",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111115",
            "telephone_number": "952-270-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH CHRISTINA",
        "first_name": "MARJACHA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "14694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.