Provider Demographics
NPI:1477075240
Name:KULMIYE, MUNA MOHAMED (RN, FNP)
Entity Type:Individual
Prefix:
First Name:MUNA
Middle Name:MOHAMED
Last Name:KULMIYE
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1605
Mailing Address - Country:US
Mailing Address - Phone:612-216-5234
Mailing Address - Fax:612-216-5360
Practice Address - Street 1:2929 CHICAGO AVE APT 809
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-4323
Practice Address - Country:US
Practice Address - Phone:612-702-6182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-03-21
Deactivation Date:2022-02-04
Deactivation Code:
Reactivation Date:2022-03-17
Provider Licenses
StateLicense IDTaxonomies
MNR187149-0163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse