Nelly Mogeni
Individual provider Active NPI Homemaker · Golden Valley, MN
NPI 1588067409 · NPPES record last updated Oct 6, 2014
Key facts
- NPI
- 1588067409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 1405 Lilac Dr N Ste 152
Golden Valley, MN 55422-4536 - Phone
- (763) 516-1222
- NPI assigned
- Oct 6, 2014
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
1405 Lilac Dr N Ste 152
Golden Valley, MN 55422-4536
Mailing address
1405 Lilac Dr N Ste 152
Golden Valley, MN 55422-4536
Phone (763) 516-1222
Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2014. 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.