Individual
NAIMO ABDISALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1229 EAST LAKE STREET, MINNEAPOLIS, MN 55407
(612) 822-1203
(612) 871-2161
Mailing address
1229 EAST LAKE STREET, MINNEAPOLIS, MN 55407
(612) 822-1203
(612) 871-2161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2109190
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962529289
—
MN
Enumeration date
11/27/2018
Last updated
11/27/2018
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