Provider Demographics
NPI:1285429316
Name:MUMED, AMINA MOHAMED
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:MOHAMED
Last Name:MUMED
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 83RD AVE NE APT 304
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-6816
Mailing Address - Country:US
Mailing Address - Phone:763-910-2925
Mailing Address - Fax:
Practice Address - Street 1:131 83RD AVE NE APT 304
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-6816
Practice Address - Country:US
Practice Address - Phone:763-910-2925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide