Individual
BASHIR ADEN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 586-5888
Mailing address
1700 UNIVERSITY AVE W FL 6, SAINT PAUL, MN 55104-3727
(612) 672-6000
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
CNP201108
ME
363LF0000X
Family Nurse Practitioner
Primary
8036
MN
363LF0000X
Family Nurse Practitioner
CNP201108
ME
Other
Enumeration date
04/15/2020
Last updated
01/23/2024
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