IndividualActive
Fadumo Hersi
NPI 1356053292 · Women's Health Nurse Practitioner · Minneapolis, MN
Provider details
- NPI number
- 1356053292
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 9818 (MN)
Practice location
3270 W Lake St
Minneapolis, MN 55416-4512
Phone: (612) 775-1800
Fax: (612) 775-1805
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Registry dates
- Enumerated
- 2022-12-22
- Last updated
- 2026-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.