Individual
MR. SHAREEF W OMAR-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
800 FREEPORT AVE NW STE 100, ELK RIVER, MN 55330-2723
(763) 581-5200
Mailing address
800 FREEPORT AVE NW STE 100, ELK RIVER, MN 55330-2723
(763) 581-5200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12513
MN
Other
Enumeration date
02/03/2025
Last updated
02/06/2025
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