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

Mr. Edwin Moenga Barake

Individual provider Home Health Registered Nurse · NPI 1013540392

Mr. Edwin Moenga Barake is a Home Health Registered Nurse in Coon Rapids, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

11032 Swallow St NW
Coon Rapids, MN 55433-4164
Phone: (612) 730-7706
Show map & directions

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

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 1801761 (MN)

Record details

NPI number1013540392
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2020
Last updated in NPPESFebruary 15, 2020
Certification dateFebruary 15, 2020
Mailing address11032 Swallow St Nw, Coon Rapids, MN 55433-4164

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