Individual provider · Type 1 NPI

Faisa Mohamed

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1619744190 Active

Practice location

701 25th Ave S
Minneapolis, MN 55454-1513

Call (612) 330-1388 Map

Mailing address

15644 Fairfield Dr
Apple Valley, MN 55124-5352

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619744190

Faisa Mohamed's National Provider Identifier is 1619744190, issued on Dec 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 30, 2026.