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Individual

FAISA HASSAN ABDI-OMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1405 LILAC DR N STE 150L, GOLDEN VALLEY, MN 55422-4536
(612) 814-1800
Mailing address
1405 LILAC DR N STE 150L, GOLDEN VALLEY, MN 55422-4536
(612) 814-1800

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
2292324
MN
163WG0000X
General Practice Registered Nurse
2292324
MN
163WH0200X
Home Health Registered Nurse
2292324
MN
163WL0100X
Lactation Consultant (Registered Nurse)
2292324
MN
163WM0102X
Maternal Newborn Registered Nurse
2292324
MN
163WN1003X
Nutrition Support Registered Nurse
2292324
MN
163WP1700X
Perinatal Registered Nurse
2292324
MN
163WW0000X
Wound Care Registered Nurse
2292324
MN
163WW0101X
Ambulatory Women's Health Care Registered Nurse
2292324
MN
176B00000X
Midwife
Primary
405
MN

Other

Enumeration date
07/25/2019
Last updated
03/02/2026
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