| NPI | 1013897198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMO A AHMED Owner 612-300-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |