Individual
WARIS MOHAMUD ABDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 BANDANA BLVD E STE 100, SAINT PAUL, MN 55108-5109
(516) 241-9700
(651) 241-9683
Mailing address
7255 181ST ST W, LAKEVILLE, MN 55044-2304
(612) 249-2162
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F1022131
MN
Other
Enumeration date
12/12/2022
Last updated
06/07/2023
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