Healthcare Provider Details

I. General information

NPI: 1801741152
Provider Name (Legal Business Name): WILLIEMINA MULBAH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3044 34TH ST S
FARGO ND
58103-6232
US

IV. Provider business mailing address

3044 34TH ST S
FARGO ND
58103-6232
US

V. Phone/Fax

Practice location:
  • Phone: 701-799-2117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246YC3302X
TaxonomyPhysician Office Based Coding Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: