IndividualActive
Blaise Bindoula
NPI 1316313562 · Adult Health Nurse Practitioner · Staples, MN
Provider details
- NPI number
- 1316313562
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- R191271-5 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-8767
Approximate (ZIP-level) locationGet directions
Mailing address
49725 County 83
Staples, MN 56479-5280
Additional practice locations (2)
- 856 University Ave WSaint Paul, MN 55104-4807Phone: (651) 665-9795Fax: (651) 665-9796
- 856 University Ave WSaint Paul, MN 55104-4807Phone: (651) 665-9795Fax: (651) 665-9796
Registry dates
- Enumerated
- 2015-08-11
- Last updated
- 2019-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.