Provider Demographics
NPI:1619784329
Name:AHMED, HAWO HASSAN (LVN)
Entity type:Individual
Prefix:
First Name:HAWO
Middle Name:HASSAN
Last Name:AHMED
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:HAWO
Other - Middle Name:HASSAN
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2425 ENBORG LN
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2648
Mailing Address - Country:US
Mailing Address - Phone:408-885-5487
Mailing Address - Fax:
Practice Address - Street 1:330 CARNEGIE DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5913
Practice Address - Country:US
Practice Address - Phone:408-334-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA289683164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse