Provider Demographics
NPI:1699309195
Name:AHMED, AMRAN HASSAN (RN)
Entity type:Individual
Prefix:
First Name:AMRAN
Middle Name:HASSAN
Last Name:AHMED
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 W SAINT GERMAIN ST APT 302
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6503
Mailing Address - Country:US
Mailing Address - Phone:612-559-4851
Mailing Address - Fax:
Practice Address - Street 1:2209 PLUM LN APT 311
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-0208
Practice Address - Country:US
Practice Address - Phone:682-258-3462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX893044163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics