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NPI Code Detail

MEDICARE: HAWO HAJI ABDIRAHMAN CNP

MEDICARE: HAWO HAJI ABDIRAHMAN CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner12331MN

General Provider Information

NPI Number : 1134928435
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAWO HAJI ABDIRAHMAN CNP
Provider Business Mailing Address
First Line : 8649 COLUMBINE RD
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7668
Country : US
Telephone Number : 952-212-4912
Fax Number :
Provider Business Practice Location Address
First Line : 1900 CENTRACARE CIR
Second Line :
City : SAINT CLOUD
State : MN
Zip : 56303-5000
Country : US
Telephone Number : 320-229-4916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/10/2025

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