Provider Demographics
NPI:1538049648
Name:ARTAN, MUSTAFE (MBA)
Entity type:Individual
Prefix:
First Name:MUSTAFE
Middle Name:
Last Name:ARTAN
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 HIGHWAY 13 E STE 204
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6848
Mailing Address - Country:US
Mailing Address - Phone:612-426-1172
Mailing Address - Fax:
Practice Address - Street 1:1601 HIGHWAY 13 E STE 204
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6848
Practice Address - Country:US
Practice Address - Phone:952-209-5557
Practice Address - Fax:612-314-8306
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician