| Nura Mobile Medicine Llc | |
|
10067 Gristmill Rdg Eden Prairie MN 55347-4761 | |
| (612) 226-2747 | |
| Not Available |
| Full Name | Nura Mobile Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10067 Gristmill Rdg, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Nimo Abdi (NURSE PRACTITIONER) |
| Authorized Official Contact | 6122262747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nura Mobile Medicine Llc 10067 Gristmill Rdg Eden Prairie MN 55347-4761 Ph: (612) 226-2747 | Nura Mobile Medicine Llc 10067 Gristmill Rdg Eden Prairie MN 55347-4761 Ph: (612) 226-2747 |
| NPI Number | 1164194106 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 01/04/2022 |
| Medicare PECOS PAC ID | 9830583434 |
|---|---|
| Medicare Enrollment ID | O20220224001686 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164194106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Nimo Saleban Abdi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114477858 PECOS PAC ID: 0941532519 Enrollment ID: I20191031000963 |
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