Individual provider · NPI-1

Nimo Saleban Abdi

Nurse Practitioner, Family · Eden Prairie, MN

NPI number1114477858
StatusActive
Last updated in NPPESMay 26, 2023

Details

NPI
1114477858
Entity type
Individual (NPI-1)
Name
Nimo Saleban Abdi
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2016
Certification date
May 26, 2023
Last updated
May 26, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyCNP 4835MNYes

Practice location

10067 Gristmill Rdg
Eden Prairie, MN 55347-4761

Phone 612-226-2747 · Fax 612-465-4884

Mailing address

10067 Gristmill Rdg
Eden Prairie, MN 55347-4761

Phone 612-226-2747 · Fax 612-465-4884

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