Healthcare Provider Details

I. General information

NPI: 1396680773
Provider Name (Legal Business Name): THE NEIGHBORHOOD NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4011 COLFAX AVE N
MINNEAPOLIS MN
55412-1729
US

IV. Provider business mailing address

4011 COLFAX AVE N
MINNEAPOLIS MN
55412-1729
US

V. Phone/Fax

Practice location:
  • Phone: 612-438-4188
  • Fax: 612-438-4188
Mailing address:
  • Phone: 612-438-4188
  • Fax: 612-438-4188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAREEF WALI OMAR TAYLOR
Title or Position: OWNER
Credential: CNP
Phone: 612-438-4188