Provider Demographics
NPI:1922641216
Name:FIRIN, SADIYA MOHAMED (NP)
Entity Type:Individual
Prefix:MISS
First Name:SADIYA
Middle Name:MOHAMED
Last Name:FIRIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NONE
Other - Middle Name:NONE
Other - Last Name:NONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NONE
Mailing Address - Street 1:14272 IRVING AVE S APT 214
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-6114
Mailing Address - Country:US
Mailing Address - Phone:612-876-6598
Mailing Address - Fax:
Practice Address - Street 1:14272 IRVING AVE S APT 214
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-6114
Practice Address - Country:US
Practice Address - Phone:612-876-6598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-20
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily