Provider Demographics
NPI:1568253052
Name:GEEDI, NASRO MOHAMED
Entity type:Individual
Prefix:
First Name:NASRO
Middle Name:MOHAMED
Last Name:GEEDI
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 1:4452 W 76TH ST APT 302
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5119
Mailing Address - Country:US
Mailing Address - Phone:763-336-3249
Mailing Address - Fax:
Practice Address - Street 1:1619 DAYTON AVE STE 106A
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6206
Practice Address - Country:US
Practice Address - Phone:612-889-1987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician