SUMMIT ADVANCE MOBILE WOUND CARE LLC
NPI 1316759566
Nurse Practitioner - Family in Maple Grove, MN

Q: What is Summit Advance Mobile Wound Care LLC's NPI number?

The NPI number for Summit Advance Mobile Wound Care LLC is 1316759566. It was assigned to this organization in the NPPES registry on January 24, 2025.

Q: What is Summit Advance Mobile Wound Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 24, 2025

6773 DEERWOOD LN N, MAPLE GROVE, MN 55369(612) 598-8555 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Summit Advance Mobile Wound Care Llc NPPES

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

SUMMIT ADVANCE MOBILE WOUND CARE LLC (NPI 1316759566) is a healthcare organization registered as a family in Maple Grove, Minnesota and active in the NPI registry since January 2025. The organization lists Henry Momanyi, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1316759566

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameSUMMIT ADVANCE MOBILE WOUND CARE LLC

Location Address6773 DEERWOOD LN NMaple Grove, MN 55369-5530

Mailing Address6773 Deerwood Ln NMaple Grove, MN 55369-5530 · (612) 598-8555

Phone(612) 598-8555

Organization SubpartNo

Authorized OfficialHenry MomanyiNurse Practitioner · (612) 598-8555

Enumeration DateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1316759566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

6773 DEERWOOD LN N, Maple Grove, MN 55369

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

HENRY MOMANYI

Nurse Practitioner (Family)

6773 DEERWOOD LN N
MAPLE GROVE, MN 55369

Hennepin County (612) 598-8555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Advance Mobile Wound Care LLC's NPI number?

The NPI number for Summit Advance Mobile Wound Care LLC is 1316759566. It was assigned to this organization in the NPPES registry on January 24, 2025.

Where is Summit Advance Mobile Wound Care LLC located?

Summit Advance Mobile Wound Care LLC is located at 6773 Deerwood Ln N, Maple Grove, MN 55369. The listed phone number is (612) 598-8555.

What is Summit Advance Mobile Wound Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Summit Advance Mobile Wound Care LLC was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.