Provider Demographics
NPI:1831934090
Name:HAYBE, HODAN ABDIRAHMAN
Entity type:Individual
Prefix:
First Name:HODAN
Middle Name:ABDIRAHMAN
Last Name:HAYBE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NABIHA
Other - Middle Name:
Other - Last Name:HAYBE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:5015 28TH AVE S APT 111
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8479
Mailing Address - Country:US
Mailing Address - Phone:701-941-0995
Mailing Address - Fax:
Practice Address - Street 1:1300 HOSPITAL LOOP
Practice Address - Street 2:
Practice Address - City:BELCOURT
Practice Address - State:ND
Practice Address - Zip Code:58316-7712
Practice Address - Country:US
Practice Address - Phone:701-477-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND35286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily