OrganizationActive
Nova Aba Clinic LLC
NPI 1710876479 · Developmental Disabilities Clinic/Center · Eagan, MN
Provider details
- NPI number
- 1710876479
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kowsarina Ahmed, Owner, Clinical Director(612) 799-9656
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4651 Nicols Rd Ste 105
Eagan, MN 55122-3336
Phone: (612) 799-9656
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Nicols Rd Ste 105
Eagan, MN 55122-3336
Registry dates
- Enumerated
- 2025-06-30
- Last updated
- 2025-06-30
- Certified
- 2025-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.