Individual
NOUSSAIBA AYOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5939 PORTLAND AVE, MINNEAPOLIS, MN 55417-3127
(612) 869-4444
(612) 254-8244
Mailing address
14369 FAIRWAY DR, EDEN PRAIRIE, MN 55344-1956
(952) 607-0217
(800) 398-8041
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
14582
MN
363AM0700X
Medical Physician Assistant
8197-23
WI
363AM0700X
Medical Physician Assistant
TPPA755
FL
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649035213
—
MN
Enumeration date
07/07/2020
Last updated
12/08/2025
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