Provider Demographics
NPI:1740079870
Name:AMIN, HAFSA MOHAMED
Entity type:Individual
Prefix:
First Name:HAFSA
Middle Name:MOHAMED
Last Name:AMIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1015 CHRISTENSEN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-1634
Mailing Address - Country:US
Mailing Address - Phone:612-644-4618
Mailing Address - Fax:
Practice Address - Street 1:1015 CHRISTENSEN AVE
Practice Address - Street 2:
Practice Address - City:WEST SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-1634
Practice Address - Country:US
Practice Address - Phone:612-644-4618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2064772163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health