Provider Demographics
NPI:1760201826
Name:ABDILAHI, YASMIIN BEDEE
Entity type:Individual
Prefix:
First Name:YASMIIN
Middle Name:BEDEE
Last Name:ABDILAHI
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 1:15960 CASCADE PATH
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-2563
Mailing Address - Country:US
Mailing Address - Phone:651-329-6575
Mailing Address - Fax:
Practice Address - Street 1:15960 CASCADE PATH
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-2563
Practice Address - Country:US
Practice Address - Phone:651-329-6575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2099873163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse