Provider Demographics
NPI:1821981507
Name:MUSSE, ABDULLRAHMAN ABIB
Entity type:Individual
Prefix:
First Name:ABDULLRAHMAN
Middle Name:ABIB
Last Name:MUSSE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 66TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4402
Mailing Address - Country:US
Mailing Address - Phone:612-517-6220
Mailing Address - Fax:
Practice Address - Street 1:357 66TH AVE NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-4402
Practice Address - Country:US
Practice Address - Phone:612-517-6220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator