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

Iyanu Mary Daramola

Individual provider Rehabilitation Practitioner · NPI 1417813999

Iyanu Mary Daramola is a Rehabilitation Practitioner in Champlin, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025

Practice location Address checks out

13331 Linwood Forest Cir # NA
Champlin, MN 55316-1019
Phone: (763) 318-3178
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (MN)

Record details

NPI number1417813999
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 29, 2025
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025