Individual
ROSE MICKIE AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, CRRN
Contact information
Practice address
10743 RHODE ISLAND AVE N, BROOKLYN PARK, MN 55445-1208
(763) 228-0912
Mailing address
10743 RHODE ISLAND AVE N, BROOKLYN PARK, MN 55445-1208
(763) 228-0912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1916928
MN
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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