NPI 1265373443
Mioshi Crystal Carter Bausal
Practice location
- Address
- 3555 France Ave N, Robbinsdale, MN 55422-2488
- Phone
- (612) 236-9512
- Fax
- (763) 521-4166
- Mailing address
- 5126 Chicago Ave, Minneapolis, MN 55417-1730
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1265373443
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Apr 2026
- Record last updated
- 2 Apr 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.