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

Siri Mae Underdahl

Individual provider Community Health Worker · NPI 1982436218

Siri Mae Underdahl is a Community Health Worker in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2024
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Practice location Address checks out

3751 17th Ave S
Minneapolis, MN 55407-2807
Phone: (612) 721-6118
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Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (MN)

Record details

NPI number1982436218
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address3751 17th Ave S, Minneapolis, MN 55407-2807

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