Individual
MR. EMRAN MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC, FNP-C
Contact information
Practice address
16490 W 78TH ST, EDEN PRAIRIE, MN 55346-4300
(304) 225-2500
Mailing address
16490 W 78TH ST, EDEN PRAIRIE, MN 55346-4300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
457
MN
363LF0000X
Family Nurse Practitioner
Primary
457
MN
363LF0000X
Family Nurse Practitioner
NP 10272
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023084
KAISER COMMERCIAL NUMBER
CO
05
—
07028351
—
CO
Enumeration date
05/24/2010
Last updated
01/21/2024
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