Individual
MOHAMED FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1527 E LAKE ST STE 1, MINNEAPOLIS, MN 55407-6700
(612) 345-7175
(612) 778-9857
Mailing address
1527 E LAKE ST STE 1, MINNEAPOLIS, MN 55407-6700
(612) 345-7175
(612) 778-9857
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN52206
ME
363LF0000X
Family Nurse Practitioner
Primary
12473
MN
363LF0000X
Family Nurse Practitioner
CNP161085
ME
Other
Enumeration date
09/13/2016
Last updated
03/06/2025
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