MEDICARE: SUHEILAH SHARIF

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
1	163W00000X	Registered Nurse	2513427	MN

General Provider Information

NPI Number	:	1790596088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUHEILAH SHARIF

Provider Business Mailing Address
First Line	:	8100 31ST AVE S APT 510
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55425-7404
Country	:	US
Telephone Number	:	612-919-6394
Fax Number	:

Provider Business Practice Location Address
First Line	:	1014 18TH AVE SE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-2549
Country	:	US
Telephone Number	:	612-220-4454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/16/2025

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Directions to “ SUHEILAH SHARIF ” Practice Location

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