Provider Demographics
NPI:1538813597
Name:NURE, FEYSAL AHMED
Entity type:Individual
Prefix:
First Name:FEYSAL
Middle Name:AHMED
Last Name:NURE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 WINNETKA AVE N STE 212
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55427-2862
Mailing Address - Country:US
Mailing Address - Phone:763-898-8368
Mailing Address - Fax:
Practice Address - Street 1:2960 WINNETKA AVE N STE 212
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55427-2862
Practice Address - Country:US
Practice Address - Phone:763-898-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician