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NPI Code Detail

MEDICARE: ABSHIRO ABDULLAHI ALI FNP

MEDICARE: ABSHIRO ABDULLAHI ALI FNP
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
1163W00000XRegistered NurseR057551ME
2363LF0000XFamily Nurse PractitionerCNP251550ME

General Provider Information

NPI Number : 1932474095
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABSHIRO ABDULLAHI ALI FNP
Provider Business Mailing Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-2911
Fax Number : 207-662-6006
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-2911
Fax Number : 207-662-6006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2012
Last Update Date : 12/01/2025

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