Healthcare Provider Details

I. General information

NPI: 1033077326
Provider Name (Legal Business Name): RAPID CARE ELITE URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11468 MARKETPLACE DR N
CHAMPLIN MN
55316-3872
US

IV. Provider business mailing address

11468 MARKETPLACE DR N
CHAMPLIN MN
55316-3872
US

V. Phone/Fax

Practice location:
  • Phone: 727-424-3385
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: THAER HASAN
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 727-424-3385