Provider Demographics
NPI:1851759492
Name:ABUKAR, ASHA
Entity Type:Individual
Prefix:
First Name:ASHA
Middle Name:
Last Name:ABUKAR
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 1:7206 FORESTVIEW LN N
Mailing Address - Street 2:SUITE 211
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-5581
Mailing Address - Country:US
Mailing Address - Phone:612-722-0591
Mailing Address - Fax:612-722-0796
Practice Address - Street 1:1522 E LAKE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1720
Practice Address - Country:US
Practice Address - Phone:612-722-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No374J00000XNursing Service Related ProvidersDoula
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker