Birundu, Samuel Moracha

Birundu, Samuel Moracha is an individual health care provider with primary practice located at 5861 Cedar Lake Rd S , St Louis Park MN 55416-1653. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Birundu, Samuel Moracha can be contacted via phone (763) 544-1000.

Contact Information

Primary practice address
5861 Cedar Lake Rd S St Louis Park MN 55416-1653
Phone: (763) 544-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X R 157904-8 Minnesota

Profile Details

NPI number 1225430317
LBN Legal business name Birundu, Samuel Moracha
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2014
Last updated Sep 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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