Provider Demographics
NPI:1366890980
Name:ELMI, SAIDO
Entity type:Individual
Prefix:
First Name:SAIDO
Middle Name:
Last Name:ELMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 33RD AVE N APT 108
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-3068
Mailing Address - Country:US
Mailing Address - Phone:320-223-0220
Mailing Address - Fax:
Practice Address - Street 1:435 33RD AVE N APT 108
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-3068
Practice Address - Country:US
Practice Address - Phone:320-223-0220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide