Healthcare Provider Details

I. General information

NPI: 1124844626
Provider Name (Legal Business Name): MERCY N. KAMAU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2024
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 UNIVERSITY AVE W UNIT 130
SAINT PAUL MN
55114-1801
US

IV. Provider business mailing address

752 GRAND AVE STE 1
SAINT PAUL MN
55105-3306
US

V. Phone/Fax

Practice location:
  • Phone: 651-447-3755
  • Fax: 651-444-8923
Mailing address:
  • Phone: 651-447-7071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number12341
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: