Provider Demographics
NPI:1740046820
Name:ABDULLAHI, YUSURA HUSSIEN
Entity type:Individual
Prefix:
First Name:YUSURA
Middle Name:HUSSIEN
Last Name:ABDULLAHI
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 1:8625 SARATOGA LN
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347-1614
Mailing Address - Country:US
Mailing Address - Phone:612-701-8200
Mailing Address - Fax:
Practice Address - Street 1:9358 ENSIGN AVE S
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55438-1472
Practice Address - Country:US
Practice Address - Phone:612-213-6729
Practice Address - Fax:952-217-5917
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician