Provider Demographics
NPI:1982406641
Name:ABDI, AYNI MOHIDIN
Entity type:Individual
Prefix:
First Name:AYNI
Middle Name:MOHIDIN
Last Name:ABDI
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 1:301 MCANDREWS RD W APT 314
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-8304
Mailing Address - Country:US
Mailing Address - Phone:614-772-7135
Mailing Address - Fax:
Practice Address - Street 1:13755 NICOLLET AVE STE 104
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4045
Practice Address - Country:US
Practice Address - Phone:952-698-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH96914163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse