Fardowsa Mohamed Abdalla, RN

Key facts

NPI

1689081291

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

2127981 (MN)

Practice address

208 N Broadway
Rochester, MN 55906-3646

Phone

(507) 258-5050

Fax

(507) 258-5051

NPI assigned

Jul 15, 2014

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

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2014.

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1689081291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063646",
            "telephone_number": "507-258-5050",
            "fax_number": "507-258-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N BROADWAY",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559063646",
            "telephone_number": "507-258-5050",
            "fax_number": "507-258-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLA",
        "first_name": "FARDOWSA",
        "middle_name": "MOHAMED",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2127981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Salwa Mohamed Abdalla
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• Nadine Abdallah, MD

All providers in Rochester, MN · Registered Nurse in Minnesota