Individual provider · Type 1 NPI

Ayan Iman Omar

Adult Health Nurse Practitioner · St. Paul, MN

NPI number 1225696909 Active

Practice location

225 Smith Ave N
St. Paul, MN 55102-2533

Mailing address

225 Smith Ave N Ste 300
St. Paul, MN 55102-2592

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11727 (MN)
Adult Health Nurse Practitioner Primary 363LA2200X11727 (MN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1225696909

Ayan Iman Omar's National Provider Identifier is 1225696909, issued on May 29, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Paul, MN. The record was last updated on Jan 21, 2025.