Healthcare Provider Details

I. General information

NPI: 1699309195
Provider Name (Legal Business Name): AMRAN HASSAN AHMED RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2020
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 PLUM LN APT 311
ARLINGTON TX
76010-0208
US

IV. Provider business mailing address

3420 W SAINT GERMAIN ST APT 302
SAINT CLOUD MN
56301-6503
US

V. Phone/Fax

Practice location:
  • Phone: 682-258-3462
  • Fax:
Mailing address:
  • Phone: 612-559-4851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number893044
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: