Fadumasara B Ali, NP
Nurse Practitioner, Family in Saint Paul, MN. Individual provider (NPI-1).
NPI number1659632719
StatusActive
Last updated in NPPESDec 4, 2025
Details
- NPI
- 1659632719
- Entity type
- Individual (NPI-1)
- Name
- Fadumasara B Ali
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2012
- Certification date
- Dec 4, 2025
- Last updated
- Dec 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3257 | MN | Yes |
Practice location
153 Cesar Chavez StSaint Paul, MN 55107-2226
Phone 651-602-7500 · Fax 651-602-7580
Mailing address
153 Cesar Chavez StSaint Paul, MN 55107-2226
Phone 651-602-7500 · Fax 651-602-7580
Other practice locations
2945 Hazelwood St Ste 100
Maplewood, MN 55109-1242
Maplewood, MN 55109-1242
Phone 651-232-7800 · Fax 651-232-7940
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