Individual provider · Type 1 NPI

Sada A. Ahmed, DNP, CNP, AGNP-C

Gerontology Nurse Practitioner · Stillwater, MN

NPI number 1891323408 Active · reactivated Jan 8, 2024

Practice location

270 Main St N Ste 300
Stillwater, MN 55082-6788

Fax (651) 342-1428

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11319 (MN)
Adult Health Nurse Practitioner 363LA2200X11319 (MN)
Gerontology Nurse Practitioner Primary 363LG0600X11319 (MN)
In Home Supportive Care Agency 253Z00000XNone listed
Primary Care Nurse Practitioner 363LP2300X11319 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1891323408

Sada A. Ahmed, DNP, CNP, AGNP-C's National Provider Identifier is 1891323408, issued on Mar 30, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Stillwater, MN. The record was last updated on Mar 31, 2026.