ENID LWIINDI MUMBA
NPI 1497942643
Licensed Practical Nurse in Blaine, MN

Active since October 02, 2007
1013 111TH AVE NE, BLAINE, MN 55434(763) 572-3707(763) 862-7438 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Licensed Practical Nurse

About ENID MUMBA

This page provides the complete NPI Profile along with additional information for Enid Mumba, a provider established in Blaine, Minnesota with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1497942643 assigned on October 2007. The practitioner's primary taxonomy code is 164W00000X with license number L-056770-5 (MN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1497942643 Verify this NPI
Provider Name
ENID LWIINDI MUMBA
Gender
Female
Entity Type
Individual
Location Address
1013 111TH AVE NE BLAINE, MN 55434
Location Phone
(763) 572-3707
Location Fax
(763) 862-7438
Mailing Address
1013 111TH AVE NE BLAINE, MN 55434
Mailing Phone
(763) 572-3707
Mailing Fax
(763) 862-7438
Is Sole Proprietor?
No
Enumeration Date
10-02-2007
Last Update Date
10-02-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
L-056770-5
License State
MN
Taxonomy Description
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.

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Home Health
1013 111TH AVE NE
BLAINE, MN 55434
Licensed Practical Nurse
1013 111TH AVE NE
BLAINE, MN 55434
Licensed Practical Nurse
1013 111TH AVE NE
BLAINE, MN 55434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497942643, enumerated as an "individual" on October 02, 2007.

The provider is located at 1013 111TH AVE NE BLAINE, MN 55434 and the phone number is (763) 572-3707.

Licensed Practical Nurse with taxonomy code 164W00000X.