Individual
IKRAN OMAR HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6750
Mailing address
947 MARYLAND AVE E, SAINT PAUL, MN 55106-2620
(507) 319-6028
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5866
MN
Other
Enumeration date
07/27/2018
Last updated
09/10/2018
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