Healthcare Provider Details

I. General information

NPI: 1588458244
Provider Name (Legal Business Name): BTW NURTURING NEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1013 CLIFF RD E STE 303
BURNSVILLE MN
55337-1540
US

IV. Provider business mailing address

1013 CLIFF RD E STE 303
BURNSVILLE MN
55337-1540
US

V. Phone/Fax

Practice location:
  • Phone: 612-223-0375
  • Fax:
Mailing address:
  • Phone: 612-223-0375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: AHMEDNUR ALI
Title or Position: DIRECTOR
Credential:
Phone: 612-223-0375