YANQUA SUMOWUO PEWU LPN
NPI 1295532661
Licensed Practical Nurse in Saint Cloud, MN

Active since February 25, 2025
4801 VETERAN DRIVE, SAINT CLOUD, MN 56303(320) 252-6380 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Yanqua Sumowuo Pewu Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YANQUA SUMOWUO PEWU LPN (NPI 1295532661) is an individual licensed practical nurse in Saint Cloud, Minnesota, licensed in Minnesota (709356) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1295532661
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameYANQUA SUMOWUO PEWUCredential: LPN
Location Address4801 VETERAN DRIVESaint Cloud, MN 56303
Mailing Address11109 34th St NeSaint Michael, MN 55376-8457 · (612) 270-4171
Sole ProprietorNo
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 21, 2025
NPI 1295532661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MN · 709356
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4801 VETERAN DRIVE, Saint Cloud, MN 56303

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4801 VETERAN DRIVE
ST. CLOUD, MN 56303
Registered Nurse
4801 VETERAN DRIVE, BUILDING 115
ST. CLOUD, MN 56303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295532661, enumerated as an "individual" on February 25, 2025.

The provider is located at 4801 VETERAN DRIVE SAINT CLOUD, MN 56303 and the phone number is (320) 252-6380.

Licensed Practical Nurse with taxonomy code 164W00000X.