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MS. MULU EDESSA
NPI 1972005254
Licensed Practical Nurse in Minneapolis, MN

Active since March 02, 2018
3803 E 54TH ST, MINNEAPOLIS, MN 55417(612) 598-0064 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mulu Edessa NPPES

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

MS. MULU EDESSA (NPI 1972005254) is an individual licensed practical nurse in Minneapolis, Minnesota, licensed in Minnesota (817554) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1972005254
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. MULU EDESSA
Location Address3803 E 54TH STMinneapolis, MN 55417-2240
Mailing Address3803 E 54th StMinneapolis, MN 55417-2240
Phone(612) 598-0064
Sole ProprietorYes
Enumeration DateMarch 2, 2018
✔ NPI 1972005254 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 · 817554
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.
3803 E 54TH ST, Minneapolis, MN 55417
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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 Mulu Edessa's NPI number?

The NPI number for Mulu Edessa is 1972005254. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Mulu Edessa located?

Mulu Edessa practices at 3803 E 54th St, Minneapolis, MN 55417. The listed phone number is (612) 598-0064.

What is Mulu Edessa's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mulu Edessa was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.