Provider Demographics
NPI:1881569952
Name:YUSUF, RUWEDO HASSAN
Entity type:Individual
Prefix:MS
First Name:RUWEDO
Middle Name:HASSAN
Last Name:YUSUF
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 1:4265 NICOLS RD APT 224
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55122-1417
Mailing Address - Country:US
Mailing Address - Phone:952-492-1031
Mailing Address - Fax:
Practice Address - Street 1:4265 NICOLS RD APT 224
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1417
Practice Address - Country:US
Practice Address - Phone:952-492-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician