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

Zillah Mulubisha

Individual provider Primary Care Nurse Practitioner · NPI 1912447780

Zillah Mulubisha is a Nurse Practitioner in Coon Rapids, Minnesota. Qualified in 2019, 7 years ago. Practices with Eon Care Clinicians PC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2017

Practice location Address checks out

3776 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629
Phone: (763) 340-2330
Fax: (763) 340-1444
Show map & directions

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

Additional practice locations (1)

  • Brooklyn Park Clinic, Minneapolis, MN 55443 — (612) 873-0000

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AG01170249 (MN)

Record details

NPI number1912447780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2017
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address2529 132nd Ln Nw, Coon Rapids, MN 55448-1205

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eon Care Clinicians Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coon Rapids