Samira A Adan

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Burnsville, MN

NPI 1083545396 · NPPES record last updated May 26, 2026

Key facts

NPI
1083545396
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
11405 Christansen CT
Burnsville, MN 55337-1147
Phone
(763) 350-2966
NPI assigned
May 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes
Physician Assistant 363A00000X

Addresses

Primary practice location

11405 Christansen CT
Burnsville, MN 55337-1147

Mailing address

11405 Christansen CT
Burnsville, MN 55337-1147

Other providers in Burnsville, MN

All providers in Burnsville, MN · Student in an Organized Health Care Education/Training Program in Minnesota

Sources for this page

Verify at the official NPI Registry.