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

Henry Momanyi

Individual provider Family Nurse Practitioner · NPI 1679207013

Henry Momanyi is a Nurse Practitioner in Maple Grove, Minnesota. Qualified in 2021, 5 years ago. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

6773 Deerwood Ln N
Maple Grove, MN 55369-5530
Phone: (612) 598-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9297 (MN)

Record details

NPI number1679207013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 10, 2022
Mailing address6773 Deerwood Ln N, Maple Grove, MN 55369-5530

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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