OrganizationActive
Advanced Care Clinic LLC
NPI 1174391940 · Family Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1174391940
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ifrah Abdullahi, Owner(612) 285-3417
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1317 E Lake St Ste 4
Minneapolis, MN 55407-6601
Phone: (612) 285-3417
Fax: (612) 254-8247
Approximate (ZIP-level) locationGet directions
Mailing address
1317 E Lake St Ste 4
Minneapolis, MN 55407-6601
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-19
- Certified
- 2023-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.