Healthcare Provider Details

I. General information

NPI: 1922916691
Provider Name (Legal Business Name): MUNA M ABDULLAHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 REVERVIEW DRIVE APT 4208
SOUTH SIOUX CITY NE
68776
US

IV. Provider business mailing address

1101 REVERVIEW DRIVE APT 4208
SOUTH SIOUX CITY NE
68776
US

V. Phone/Fax

Practice location:
  • Phone: 308-651-0730
  • Fax: 308-651-0730
Mailing address:
  • Phone: 308-651-0730
  • Fax: 308-651-0730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: