Healthcare Provider Details

I. General information

NPI: 1013897198
Provider Name (Legal Business Name): ZAYA HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S SEOND AVE SUITE 200 1631
MINNEAPOLIS MN
55401
US

IV. Provider business mailing address

330 S SEOND AVE SUITE 200 1631
MINNEAPOLIS MN
55401
US

V. Phone/Fax

Practice location:
  • Phone: 612-300-2221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: NIMO A AHMED
Title or Position: OWNER
Credential: CNM , APRN, DNP
Phone: 612-300-2221