Individual
AYAN IMAN OMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 SMITH AVE N, SAINT PAUL, MN 55102-2533
(651) 241-5000
Mailing address
225 SMITH AVE N STE 300, SAINT PAUL, MN 55102-2592
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11727
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
11727
MN
Other
Enumeration date
05/29/2019
Last updated
01/21/2025
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