Naomi Damask
Individual provider Active NPI Health & Wellness Coach · Wayzata, MN
NPI 1467204792 · NPPES record last updated Oct 8, 2024
Key facts
- NPI
- 1467204792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 18000 Fairhomes LN
Wayzata, MN 55391-3206 - Phone
- (612) 747-2760
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | MN | ||
| Health & Wellness Coach | 171400000X | ZZ | Yes |
Addresses
Primary practice location
18000 Fairhomes LN
Wayzata, MN 55391-3206
Mailing address
18000 Fairhomes LN
Wayzata, MN 55391-3206
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All providers in Wayzata, MN · Health & Wellness Coach in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.