# NOVA HEALTH & WELLNESS CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487586384
- **Authorized official:** ABDULRAHMAN ALI (ADMIN)
- **Authorized official phone:** (612) 472-1556

## Contact information

- **Practice address:** 405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032
- **Practice address phone:** (612) 472-1556
- **Mailing address:** 405 CEDAR AVE S, MINNEAPOLIS, MN 55454-1032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2026
- **Last updated:** 08/03/2026