Provider Demographics
NPI:1871307793
Name:MOHAMED, AMINA OSMAN
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:OSMAN
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 1:1410 MARBEE DR APT 7
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-1651
Mailing Address - Country:US
Mailing Address - Phone:402-612-9741
Mailing Address - Fax:
Practice Address - Street 1:1410 MARBEE DR APT 7
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-1651
Practice Address - Country:US
Practice Address - Phone:531-541-2354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide