Organization Active NPI

Fardullah Health

  • Family Nurse Practitioner
  • Apple Valley, MN
National Provider Identifier
1861365298
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FARDULLAH HEALTH
Practice address
7630 145TH St W Ste 16
Apple Valley, MN 55124-7553
Phone
(612) 245-8475
NPI assigned
Sep 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Fardowsa Osman, FNPNPI 1023729381
Title
Family Nurse Practitioner
Phone
(612) 245-8475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7630 145TH St W Ste 16
Apple Valley, MN 55124-7553

Mailing address

7630 145TH St W Ste 16
Apple Valley, MN 55124-7553
Phone (612) 245-8475

National Provider Directory

National Provider Directory

Locations

7630 145th St W
Ste 16
Apple Valley, MN 55124
Phone (612) 245-8475

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1861365298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 145TH ST W STE 16",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247553",
            "telephone_number": "612-245-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 145TH ST W STE 16",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247553",
            "telephone_number": "612-245-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARDULLAH HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "612-245-8475",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.