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NPI Code Detail

MEDICARE: VENNY NYABOKE ONGERI

MEDICARE: VENNY NYABOKE ONGERI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner13983MN

General Provider Information

NPI Number : 1023951324
Entity Type Code : Individual
Provider Name (Legal Business Name) : VENNY NYABOKE ONGERI
Provider Business Mailing Address
First Line : 2112 BROADWAY ST NE STE 225
Second Line : #503
City : MINNEAPOLIS
State : MN
Zip : 55413-3081
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2112 BROADWAY ST NE STE 225
Second Line : #503
City : MINNEAPOLIS
State : MN
Zip : 55413-3081
Country : US
Telephone Number : 763-900-2996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2026
Last Update Date : 04/11/2026

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Directions to “ VENNY NYABOKE ONGERI ” Practice Location

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