Individual
MR. SHAFI ABDULLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4727 HIAWATHA AVE, MINNEAPOLIS, MN 55406-3928
(999) 999-9999
Mailing address
4727 HIAWATHA AVE, MINNEAPOLIS, MN 55406-3928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6856
MN
363LP2300X
Primary Care Nurse Practitioner
6856
MN
Other
Enumeration date
08/29/2019
Last updated
03/25/2026
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