Provider Demographics
NPI:1053041491
Name:ABDI, HALIMO AHMED (APRN)
Entity Type:Individual
Prefix:MRS
First Name:HALIMO
Middle Name:AHMED
Last Name:ABDI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SOUTHERN REGIONAL MEDICAL CENTER
Mailing Address - Street 2:203 ENERGY PKWY, LAFAYETTE, LA 70508
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-3104
Mailing Address - Country:US
Mailing Address - Phone:337-266-8483
Mailing Address - Fax:337-266-8463
Practice Address - Street 1:203 ENERGY PKWY
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3815
Practice Address - Country:US
Practice Address - Phone:337-266-8483
Practice Address - Fax:337-266-8463
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA225216363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily