Provider Demographics
NPI:1295623114
Name:MOHAMED, FATUMA HASSAN
Entity type:Individual
Prefix:
First Name:FATUMA
Middle Name:HASSAN
Last Name:MOHAMED
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 1:9001 ARBOR ST STE 206
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2066
Mailing Address - Country:US
Mailing Address - Phone:402-718-6900
Mailing Address - Fax:
Practice Address - Street 1:3010 BLONDO ST APT 106
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-4180
Practice Address - Country:US
Practice Address - Phone:402-980-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant