Individual
ANIEZ NUR MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED PRAC NURSE
Contact information
Practice address
9615 GIRARD AVE S, BLOOMINGTON, MN 55431-2647
(612) 787-6329
Mailing address
9615 GIRARD AVE S, BLOOMINGTON, MN 55431-2647
(612) 787-6329
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
641993
MN
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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