Provider Demographics
NPI:1588223028
Name:ABBAA, CATHERINE NKIRU
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:NKIRU
Last Name:ABBAA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5701 SHINGLE CREEK PKWY STE 600F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2355
Mailing Address - Country:US
Mailing Address - Phone:612-719-9993
Mailing Address - Fax:
Practice Address - Street 1:5701 SHINGLE CREEK PKWY STE 600F
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2355
Practice Address - Country:US
Practice Address - Phone:612-719-9993
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-09
Last Update Date:2019-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator