Provider Demographics
NPI:1952041451
Name:DAWUD, FARAH H
Entity Type:Individual
Prefix:
First Name:FARAH
Middle Name:H
Last Name:DAWUD
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 1:2907 CLEARWATER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-6191
Mailing Address - Country:US
Mailing Address - Phone:320-237-6571
Mailing Address - Fax:
Practice Address - Street 1:2907 CLEARWATER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-6191
Practice Address - Country:US
Practice Address - Phone:320-237-6571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist