Provider Demographics
NPI:1467247817
Name:ALI, AYAAN AHMED (RN)
Entity type:Individual
Prefix:MS
First Name:AYAAN
Middle Name:AHMED
Last Name:ALI
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16824 ENCHANTED CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-3423
Mailing Address - Country:US
Mailing Address - Phone:507-405-6616
Mailing Address - Fax:
Practice Address - Street 1:16824 ENCHANTED CT
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-3423
Practice Address - Country:US
Practice Address - Phone:507-405-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2459811163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse