SearchMinnesota101YA0400X

Fardowsa Hassan, LADC

NPI 1497322267 · on the registry since 2021

Practice

Address
1246 University Ave W
Saint Paul, MN 55104
Phone
(651) 204-7009
Organisation at this address
Key Corp
Wild River Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota