MEDICARE: DR. NASRA H GIAMA DNP, WHNP

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
1	363LW0102X	Women's Health Nurse Practitioner	10490	MN

General Provider Information

NPI Number	:	1386577922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NASRA H GIAMA DNP, WHNP

Provider Business Mailing Address
First Line	:	16019 ESTATE LN
Second Line	:
City	:	LAKEVILLE
State	:	MN
Zip	:	55044-2269
Country	:	US
Telephone Number	:	763-203-9496
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55404-2813
Country	:	US
Telephone Number	:	612-315-2858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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