Provider Demographics
NPI:1417841933
Name:MUSAH, WINNINGFAITH
Entity type:Individual
Prefix:
First Name:WINNINGFAITH
Middle Name:
Last Name:MUSAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WINNIE
Other - Middle Name:KOLU MUSAH
Other - Last Name:PADMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11245 HANSON BLVD NW APT 202
Mailing Address - Street 2:
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-7463
Mailing Address - Country:US
Mailing Address - Phone:763-306-7915
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-725-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN818817164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse