Provider Demographics
NPI:1275197014
Name:AHMED, NASRO ABDULKADIR (DNP, FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:NASRO
Middle Name:ABDULKADIR
Last Name:AHMED
Suffix:
Gender:
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7101 YORK AVE S STE 345
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4409
Mailing Address - Country:US
Mailing Address - Phone:612-501-1448
Mailing Address - Fax:
Practice Address - Street 1:7101 YORK AVE S STE 345
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4409
Practice Address - Country:US
Practice Address - Phone:952-393-0505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6563363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty