Provider Demographics
NPI:1043105042
Name:HASSAN, NAFISA A I
Entity type:Individual
Prefix:MS
First Name:NAFISA
Middle Name:A
Last Name:HASSAN
Suffix:I
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 1:1230 CHERI LN NE APT 8
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55421-1217
Mailing Address - Country:US
Mailing Address - Phone:612-227-4447
Mailing Address - Fax:
Practice Address - Street 1:1230 CHERI LN NE APT 8
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55421-1217
Practice Address - Country:US
Practice Address - Phone:612-227-4447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)