IndividualActive
Aniez Mohamed, LICENSED PRAC NURSE
NPI 1215824818 · Licensed Practical Nurse · Bloomington, MN
Provider details
- NPI number
- 1215824818
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LICENSED PRAC NURSE
- Sex
- Male
- Sole proprietor
- No
- License
- 641993 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
9615 Girard Ave S
Bloomington, MN 55431-2647
Phone: (612) 787-6329
Approximate (ZIP-level) locationGet directions
Mailing address
9615 Girard Ave S
Bloomington, MN 55431-2647
Registry dates
- Enumerated
- 2025-06-18
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.