Organization
HEALINGMED CLINIC LLC
Active
Organization
HEALINGMED CLINIC LLC
Active
Other names
HealingMed Clinic, Noussaiba Ayour PA-C LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NOUSSAIBA AYOUR PA-C (FOUNDER)
(952) 607-0217
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE 107-12, SAINT PAUL, MN 55104-0049
(952) 607-0217
Mailing address
14369 FAIRWAY DR, EDEN PRAIRIE, MN 55344-1956
(952) 607-0217
(800) 398-8041
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/14/2024
Last updated
12/15/2025
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