Provider Demographics
NPI:1699563312
Name:YUSUF, AMRAN (K-12 PRINCIPAL)
Entity type:Individual
Prefix:
First Name:AMRAN
Middle Name:
Last Name:YUSUF
Suffix:
Gender:
Credentials:K-12 PRINCIPAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 COUNTY ROAD 74 APT 231
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-7411
Mailing Address - Country:US
Mailing Address - Phone:320-217-5550
Mailing Address - Fax:
Practice Address - Street 1:3333 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-4515
Practice Address - Country:US
Practice Address - Phone:320-217-5550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health