Hawo Hassan Ahmed, LVN
Individual provider Active NPI Licensed Vocational Nurse · Milpitas, CA
NPI 1619784329 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1619784329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 289683 (CA)
- Practice address
- 330 Carnegie Dr
Milpitas, CA 95035-5913 - Phone
- (408) 334-1706
- NPI assigned
- Dec 16, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289683 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 289683 | CA | Yes |
Addresses
Primary practice location
330 Carnegie Dr
Milpitas, CA 95035-5913
Mailing address
2425 Enborg LN
San Jose, CA 95128-2648
Phone (408) 885-5487
Other names
- Hawo Hassan Ahmed
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- Metty B. Albert
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All providers in Milpitas, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.