Individual provider · Type 1 NPI

Maryam Abdulkadir Mohamed, APRN CPNP-PC

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1366131997 Active

Practice location

2525 Chicago Ave
Minneapolis, MN 55404-4518

Call (612) 813-6107 Map

Other practice locations

17685 Juniper Path Ste 303, Lakeville, MN 55044-9821 · (952) 214-8959

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	10107 (MN)
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	10107 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1366131997

Maryam Abdulkadir Mohamed, APRN CPNP-PC's National Provider Identifier is 1366131997, issued on May 1, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 5, 2025.