Provider Demographics
NPI:1518797513
Name:NUR, MUNA DAHIR
Entity type:Individual
Prefix:
First Name:MUNA
Middle Name:DAHIR
Last Name:NUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6582 157TH ST W APT 304B
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6061
Mailing Address - Country:US
Mailing Address - Phone:612-391-4164
Mailing Address - Fax:
Practice Address - Street 1:2233 UNIVERSITY AVE W STE 210
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55114-1698
Practice Address - Country:US
Practice Address - Phone:651-502-2945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent