Individual
NAGMO ABDIWAHAB ABDIKARIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9217 17TH AVE S, BLOOMINGTON, MN 55425-2373
(952) 228-3797
Mailing address
9217 17TH AVE S, BLOOMINGTON, MN 55425-2373
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2485855
MN
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
10/27/2020
Last updated
12/10/2020
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