Unknown Individual – Nurse Practitioner, NPI 1841264207

Unknown Individual is a healthcare provider. based in Brooklyn park, Minnesota. specializing in Nurse Practitioner. They hold a License No. R1294381 (MN). The NPI Number for Unknown Individual is 1841264207

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1841264207
Phone
(763) 587-7900
Address
9201 W BROADWAY AVE
Deactivation Date
17 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Broadway Avenue, Brooklyn Park, Hennepin County, Minnesota, 55445, United States

    SUITE 601

    BROOKLYN PARK, MN 554451923

    Phone: (763) 587-7900

    Type: Mailing

  • Oakdale Medical Building, 3366, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    SUITE 551

    ROBBINSDALE, MN 554222948

    Phone: (763) 587-7737

    Fax: (763) 587-7069

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55445)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1841264207.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Brooklyn Park, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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