Organization
ADVANCED CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFRAH A ABDULLAHI MSN, FNP, APRN (OWNER)
(612) 285-3417
Entity
Organization
Contact information
Practice address
1317 E LAKE ST STE 4, MINNEAPOLIS, MN 55407-6601
(612) 285-3417
(612) 254-8247
Mailing address
1317 E LAKE ST STE 4, MINNEAPOLIS, MN 55407-6601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/19/2023
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