Provider Demographics
NPI:1194424952
Name:HASHI, ANISA A
Entity type:Individual
Prefix:MS
First Name:ANISA
Middle Name:A
Last Name:HASHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16397 GLORY LN UNIT 302
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-2827
Mailing Address - Country:US
Mailing Address - Phone:612-743-7128
Mailing Address - Fax:
Practice Address - Street 1:2208 E 117TH ST
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-1265
Practice Address - Country:US
Practice Address - Phone:952-297-5333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst