Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lifespan Psychiatry and Wellness Limited Liability Limited Partnership

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1427840313

Lifespan Psychiatry and Wellness Limited Liability Limited Partnership is a Psychiatric/Mental Health Nurse Practitioner in Bloomington, Minnesota. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3800 American Blvd W Ste 1500
Bloomington, MN 55431-4429
Phone: (206) 250-7034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1427840313
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fadumo Omar — Co-Owner/Partner · (206) 250-7034
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 5, 2025
Mailing address3800 American Blvd W Ste 1500, Bloomington, MN 55431-4429

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