Provider Demographics
NPI:1902690084
Name:NURSINGBRIDGE LLC
Entity type:Organization
Organization Name:NURSINGBRIDGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AYAN
Authorized Official - Middle Name:KHALIF
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-224-1116
Mailing Address - Street 1:1401 SILVER LAKE RD NW STE 7
Mailing Address - Street 2:
Mailing Address - City:NEW BRIGHTON
Mailing Address - State:MN
Mailing Address - Zip Code:55112-9307
Mailing Address - Country:US
Mailing Address - Phone:612-224-1116
Mailing Address - Fax:612-605-0089
Practice Address - Street 1:1401 SILVER LAKE RD NW STE 7
Practice Address - Street 2:
Practice Address - City:NEW BRIGHTON
Practice Address - State:MN
Practice Address - Zip Code:55112-9307
Practice Address - Country:US
Practice Address - Phone:612-224-1116
Practice Address - Fax:612-605-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care