Sifen M Ali

Individual provider Active NPI Transplantation Clinical Nurse Specialist · Blaine, MN

NPI 1194591909 · NPPES record last updated Dec 1, 2023

Key facts

NPI
1194591909
Entity type
Individual (NPI type 1)
Primary specialty
Transplantation Clinical Nurse Specialist 364ST0500X
License
1386376600028 (MN)
Practice address
12664 Central Ave NE Apt 215
Blaine, MN 55434-4814
Phone
(612) 814-1085
NPI assigned
Dec 1, 2023
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1386376600028MNMDTransplantation Clinical Nurse Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Transplantation Clinical Nurse Specialist 364ST0500X 1386376600028 MN Yes

Addresses

Primary practice location

12664 Central Ave NE Apt 215
Blaine, MN 55434-4814

Mailing address

12664 Central Ave NE Apt 215
Blaine, MN 55434-4814
Phone (612) 814-1085

Other identifiers

IdentifierTypeStateIssuer
923110645OtherMNNON EMERGENCY MEDICAL TRANSPORTATION SERVICES

Electronic endpoints

TypeEndpointUseAffiliation
Other URL https://mnstartransport.info/ Direct

Other providers in Blaine, MN

All providers in Blaine, MN · Transplantation Clinical Nurse Specialist in Minnesota

Sources for this page

Verify at the official NPI Registry.