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Active NPI 1215824818 Individual Practitioner Male Practitioner

Aniez Nur Mohamed , LICENSED PRAC NURSE

Licensed Practical Nurse • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Aniez Mohamed, LICENSED PRAC NURSE is a registered healthcare professional specializing in Licensed Practical Nurse in Bloomington, MN. Practice services are available at 9615 GIRARD AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9615 Girard Ave S

Bloomington, MN 554312647

Telephone 6127876329
Associated Practice Facility / Clinic
🏢 Autism Center Facility NPI 1841833423

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Bloomington, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-18
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN 641993

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Sadia Ahmed

Behavior Technician

NPI 1407734718
Yusra Arab

Counselor - Mental Health

NPI 1982387460

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2025

Registered at 9615 GIRARD AVE S, BLOOMINGTON, MN 554312647 (Tel: 6127876329)

📍
Updated Business Mailing Address June 18, 2025

Registered at 9615 GIRARD AVE S, BLOOMINGTON, MN 554312647 (Tel: 6127876329)

👤
Provider Name / Credentials Updated June 18, 2025

Recorded as ANIEZ MOHAMED, LICENSED PRAC NURSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2025

Licensed Practical Nurse (License #641993 in MN)

🟢
Initial NPI Registration & Enumeration June 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215824818
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2025
Last Update: June 18, 2025
Sole Proprietor: No

Mailing Address

9615 Girard Ave S

Bloomington, MN 554312647

Phone: 6127876329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.