Provider Demographics
NPI:1407510647
Name:NOOR, YASMIN MOHAMED (RN CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:YASMIN
Middle Name:MOHAMED
Last Name:NOOR
Suffix:
Gender:F
Credentials:RN CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 10TH AVE S STE 110
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9480
Mailing Address - Country:US
Mailing Address - Phone:612-801-5100
Mailing Address - Fax:
Practice Address - Street 1:32 10TH AVE S # 215
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-9402
Practice Address - Country:US
Practice Address - Phone:612-801-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN405154163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health