Provider Demographics
NPI:1417731811
Name:HUSSIEN, HAMDI M (CNM)
Entity Type:Individual
Prefix:
First Name:HAMDI
Middle Name:M
Last Name:HUSSIEN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13743 ASPEN GROVE LN
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-3494
Mailing Address - Country:US
Mailing Address - Phone:952-649-2950
Mailing Address - Fax:
Practice Address - Street 1:13743 ASPEN GROVE LN
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-3494
Practice Address - Country:US
Practice Address - Phone:952-649-2950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN550176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife