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

Evans Odhiambo

Individual provider Nurse Practitioner · NPI 1992523898

Evans Odhiambo is a Nurse Practitioner in Brooklyn Park, Minnesota. Qualified in 2023, 3 years ago. Practices with Integrated Wound Care Minnesota PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2024

Practice location Address checks out

8056 James Ave N
Brooklyn Park, MN 55444-1673
Phone: (201) 214-9999
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11843 (MN)

Record details

NPI number1992523898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address8056 James Ave N, Brooklyn Park, MN 55444-1673

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integrated Wound Care Minnesota Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brooklyn Park