Individual
SHUKRI MOHAMED ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2711 E FRANKLIN AVE, MINNEAPOLIS, MN 55406-1105
(612) 339-3300
Mailing address
1068 122ND AVE NW, COON RAPIDS, MN 55448-2175
(612) 644-3512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
MN
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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