My Legal Nurse Consultants LLC

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

1813283 Issued in MN

Legal business name

MY LEGAL NURSE CONSULTANTS LLC

Doing business as

Manda's House St. Cloud
Mia's House St. Cloud
Miakarseh House

Practice address

2607 15TH Ave SE
St. Cloud, MN 56304

Phone

(763) 744-6192

Fax

(320) 251-1486

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Romanda M Gaye, REGISTERED NURSE

Title

Owner

Phone

(763) 744-6192

Specialties & licenses 1

Addresses

Other names 3

• Manda's House St. Cloud Doing business as
• Mia's House St. Cloud Doing business as
• Miakarseh House Doing business as

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1497265995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 ARROWHEAD ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334013",
            "telephone_number": "763-744-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 15TH AVE SE",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "56304",
            "telephone_number": "763-744-6192",
            "fax_number": "320-251-1486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2012 7th Ave S",
            "address_purpose": "LOCATION",
            "city": "St. Cloud",
            "state": "MN",
            "postal_code": "56301",
            "country_code": "US",
            "telephone_number": "763-744-6192",
            "fax_number": "320-251-1487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10608 Arrowhead St NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554334013",
            "country_code": "US",
            "telephone_number": "763-744-6192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY LEGAL NURSE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "GAYE",
        "authorized_official_first_name": "ROMANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-744-6192",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "MN",
            "license": "1813283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manda's House St. Cloud",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mia's House St. Cloud",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miakarseh House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Munira S. Musse
• Nimo Sidik Musse
• Safiya Musse
• Sumaya Musse
• Krista Mae Muzny, RN
• Alyshia Myers
• Janae Myers
• Michael Thomas Mynczywor, LICSW
• Amanda Lee Myran, APRN, CNP
• Tina Marie Myrum

• Administrator Registered Nurse in St. Cloud, MN
• Providers in St. Cloud, MN by specialty
• Administrator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.