IndividualActive
Bernice Mamana
NPI 1396500369 · Home Health Registered Nurse · Lakeville, MN
Provider details
- NPI number
- 1396500369
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2491111 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
10805 173rd St W
Lakeville, MN 55044-5335
Phone: (612) 247-0031
Approximate (ZIP-level) locationGet directions
Mailing address
10805 173rd St W Apt 220
Lakeville, MN 55044-5340
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-02-19
- Certified
- 2024-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.