Individual provider · Type 1 NPI

Muktar Shillow Omar, NP

Family Nurse Practitioner · Brooklyn Center, MN

NPI number 1689529505 Active

Practice location

6200 Shingle Creek Pkwy Ste 260
Brooklyn Center, MN 55430-2128

Call (763) 544-0696 Map

Fax (763) 544-0984

Mailing address

12372 5th St NE
Minneapolis, MN 55434-2644

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X13976 (MN)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1689529505

Muktar Shillow Omar, NP's National Provider Identifier is 1689529505, issued on Mar 4, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Mar 4, 2026.