Provider Demographics
NPI:1770196065
Name:WEBI, AMINA
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:WEBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 GRANDVIEW WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-3376
Mailing Address - Country:US
Mailing Address - Phone:651-352-7536
Mailing Address - Fax:
Practice Address - Street 1:2930 BLAISDELL AVE APT 333
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2326
Practice Address - Country:US
Practice Address - Phone:612-500-1368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty