Individual
MRS. AMAAL ABDI MOHAMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1421 PARK AVE, MINNEAPOLIS, MN 55404-5200
(612) 886-3581
Mailing address
11420 42ND PL N, PLYMOUTH, MN 55441-1904
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2314749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2314749
RN
MN
Enumeration date
09/19/2019
Last updated
09/19/2019
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