Healthcare Provider Details

I. General information

NPI: 1548175813
Provider Name (Legal Business Name): AYAAN ABDULAHI SHEK-MOHAMED PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WASHINGTON AVE S STE 1210
MINNEAPOLIS MN
55401-2104
US

IV. Provider business mailing address

100 WASHINGTON AVE S STE 1210
MINNEAPOLIS MN
55401-2104
US

V. Phone/Fax

Practice location:
  • Phone: 216-387-7347
  • Fax:
Mailing address:
  • Phone: 216-387-7347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP500021714
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: