Individual
NIMO OSMAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP,CNP
Contact information
Practice address
3405 3RD ST N, SAINT CLOUD, MN 56303-4015
(612) 871-2312
(612) 871-2163
Mailing address
2226 119TH AVE NE, BLAINE, MN 55449-5440
(612) 481-0603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5668
MN
Other
Enumeration date
02/13/2018
Last updated
01/28/2021
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