Provider Demographics
NPI:1265185938
Name:HEALVIEW HEALTH
Entity type:Organization
Organization Name:HEALVIEW HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDURAHMAN
Authorized Official - Middle Name:RONE
Authorized Official - Last Name:IBRAHIM
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN, CNP
Authorized Official - Phone:952-300-7658
Mailing Address - Street 1:19950 DODD BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-6342
Mailing Address - Country:US
Mailing Address - Phone:952-300-7658
Mailing Address - Fax:
Practice Address - Street 1:19950 DODD BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-6342
Practice Address - Country:US
Practice Address - Phone:952-300-7658
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty