Individual
FARTUN AHMED KEYNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, PMHNP
Contact information
Practice address
4470 W 78TH STREET CIR STE 265, BLOOMINGTON, MN 55435-5408
(952) 260-3367
(952) 213-4260
Mailing address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
2441926
MN
363L00000X
Nurse Practitioner
9850
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9850
MN
Other
Enumeration date
09/21/2023
Last updated
01/02/2026
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