Provider Demographics
NPI:1477975357
Name:HAJI-MUNYE, NOOR
Entity Type:Individual
Prefix:
First Name:NOOR
Middle Name:
Last Name:HAJI-MUNYE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55071-1706
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1020 2ND ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL PARK
Practice Address - State:MN
Practice Address - Zip Code:55071-1706
Practice Address - Country:US
Practice Address - Phone:651-353-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR165007-7163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health