Individual
HABON ABDULLAHI MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2711 E FRANKLIN AVE, MINNEAPOLIS, MN 55406-1105
(612) 339-3300
Mailing address
12208 17TH AVE S APT B, BURNSVILLE, MN 55337-6828
(952) 393-1772
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6721
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6721
MN
363LP2300X
Primary Care Nurse Practitioner
6721
MN
Other
Enumeration date
07/18/2019
Last updated
06/07/2023
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