Healthcare Provider Details

I. General information

NPI: 1386577922
Provider Name (Legal Business Name): NASRA H GIAMA DNP, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 CHICAGO AVE
MINNEAPOLIS MN
55404-2813
US

IV. Provider business mailing address

16019 ESTATE LN
LAKEVILLE MN
55044-2269
US

V. Phone/Fax

Practice location:
  • Phone: 612-315-2858
  • Fax:
Mailing address:
  • Phone: 763-203-9496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number10490
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: