NPI 1003508193
Nimco Mahad
Practice location
- Address
- 11972 Portland Ave, Burnsville, MN 55337-1516
- Phone
- (952) 228-8572
- Mailing address
- 8632 Saratoga Ln, Eden Prairie, MN 55347-1613
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003508193
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 May 2023
- Record last updated
- 25 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.