Healthcare Provider Details

I. General information

NPI: 1295033983
Provider Name (Legal Business Name): HUMMINGBIRD NATURAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2011
Last Update Date: 03/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 LOWRY AVE NE SUITE NUMBER 124
MINNEAPOLIS MN
55418-4285
US

IV. Provider business mailing address

81 LOWRY AVE NE SUITE NUMBER 124
MINNEAPOLIS MN
55418-4285
US

V. Phone/Fax

Practice location:
  • Phone: 952-353-6096
  • Fax:
Mailing address:
  • Phone: 952-353-6096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: ERICA GEIER
Title or Position: OWNER
Credential: CST, NHP
Phone: 952-353-6096