IndividualActive
Mustafa Farah, (LALD)
NPI 1659254274 · Nursing Home Administrator · Minneapolis, MN
Provider details
- NPI number
- 1659254274
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- (LALD)
- Sex
- Male
- Sole proprietor
- No
- License
- 1737 (MN)
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Related Providers
Nursing Service Related Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3234 Dupont Ave N
Minneapolis, MN 55412-2510
Phone: (612) 836-9799
Fax: (612) 448-0097
Approximate (ZIP-level) locationGet directions
Mailing address
1901 Stevens Ave Apt 2
Minneapolis, MN 55403-3870
Additional practice locations (1)
- 5367 Minnehaha Ave Apt 116Minneapolis, MN 55417-2383Phone: (612) 836-9799Fax: (612) 448-0097
Registry dates
- Enumerated
- 2025-07-30
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.