Regine W Ndifor, RN, BSN, MSN, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209405-6 Issued in MN

Practice address

1415 Lilac Dr N Ste 190
Minneapolis, MN 55422-4544

Phone

(763) 267-8701

Fax

(763) 231-9602

NPI assigned

Sep 20, 2012

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)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1538410287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LILAC DR N STE 190",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224544",
            "telephone_number": "763-267-8701",
            "fax_number": "763-231-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LILAC DR N STE 190",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224544",
            "telephone_number": "763-267-8701",
            "fax_number": "763-231-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIFOR",
        "first_name": "REGINE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "RN, BSN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "209405-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hossein Khanamiri Nazari, MD
• Gwen K Nazarian, M.D.
• Finn Ndekwe
• Nkuti Ndely, PHARMD
• Simon-Noel Ndely, MD
• Fatoumatta Ndong
• Rebeka Ndosi, L.AC, DIPL.AC
• Marie-Joy Nduwimana, MD
• Sarah Ann Ndyajunwoha, MD
• NE Community Acupuncture & Wellness Center LLC

• Primary Care Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.