Provider Demographics
NPI:1598640807
Name:CHIEJINA, PHILEMENA BLAMO
Entity type:Individual
Prefix:
First Name:PHILEMENA
Middle Name:BLAMO
Last Name:CHIEJINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9641 SCOTT LN N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-5101
Mailing Address - Country:US
Mailing Address - Phone:475-223-9516
Mailing Address - Fax:
Practice Address - Street 1:9641 SCOTT LN N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-5101
Practice Address - Country:US
Practice Address - Phone:475-223-9516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN242043-9163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health