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General NPI Number Information
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NPI Number | 1336062918
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Entity Type | Individual
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Provider Name | ROBINAH KYALLISIMA NWANNA CNP, PMHNP, APRN
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 600 TWELVE OAKS CENTER DR STE 217
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City | WAYZATA
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State | MN
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Zip | 55391-4541
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Country | US
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Telephone | 952-322-0768
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Fax | 952-592-3941
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Provider Business Mailing Address
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Address Line | 600 TWELVE OAKS CENTER DR STE 217
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City | WAYZATA
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State | MN
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Zip | 55391-4541
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Country | US
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Telephone | 952-322-0768
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Fax | 952-592-3941
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 14343
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License Number State | MN
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