Provider Demographics
NPI:1760373245
Name:MUMIN, AMINA
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:MUMIN
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 1:5211 GROUSE CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4676
Mailing Address - Country:US
Mailing Address - Phone:619-808-4040
Mailing Address - Fax:
Practice Address - Street 1:5211 GROUSE CT
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4676
Practice Address - Country:US
Practice Address - Phone:619-808-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula