Individual provider · Type 1 NPI
Khadra Mohamed, RN
Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI number
1104276070
Active
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
2450 Riverside Ave.
Minneapolis, MN 55454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10672 (MN) |
| Community Health Registered Nurse | 163WC1500X | R-196969-0 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104276070
Khadra Mohamed, RN's National Provider Identifier is 1104276070, issued on Jun 21, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 13, 2023.