Healthcare Provider Details

I. General information

NPI: 1124307020
Provider Name (Legal Business Name): YASMIN A ALI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 WAYZATA BLVD STE 200
WAYZATA MN
55391-2071
US

IV. Provider business mailing address

PO BOX 1200
PLEASANT GROVE UT
84062-1200
US

V. Phone/Fax

Practice location:
  • Phone: 800-640-3451
  • Fax: 385-287-1900
Mailing address:
  • Phone: 800-640-3451
  • Fax: 385-287-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.363845
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9348
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: