Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FAIZA HASSAN
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · BLOOMINGTON, MN
Registration Details
- NPI Number
- 1841652898
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 28, 2016 (10.067617700808 yrs)
- Last Updated
- Mar 17, 2018
- License
-
0015858 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10917 HUMBOLDT AVE SBLOOMINGTON, MN, 554314221Browse MN providers · Browse ZIP 55431
- Phone
- 6513152649
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.