Provider Demographics
NPI:1891486759
Name:HUSSEIN, HAMDI (RN)
Entity Type:Individual
Prefix:
First Name:HAMDI
Middle Name:
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SANDHURST DR W APT 202
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4679
Mailing Address - Country:US
Mailing Address - Phone:651-359-4890
Mailing Address - Fax:
Practice Address - Street 1:550 SANDHURST DR W APT 202
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4679
Practice Address - Country:US
Practice Address - Phone:651-359-4890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2503857163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty