Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
AMAL SALAH ABDALLE RN, FNP
NPI 1316476179
Nurse Practitioner - Family in Minneapolis, MN
Active since June 06, 2017
3809 42ND AVE S STE 100, MINNEAPOLIS, MN 55406(612) 405-3554(612) 400-1100 Get Directions Write a Review
About Amal Salah Abdalle Rn, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMAL SALAH ABDALLE RN, FNP (NPI 1316476179) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (14275) and active in the NPI registry since June 2017.
NPPES Registry Identity
NPI1316476179
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMAL SALAH ABDALLECredential: RN, FNP
Location Address3809 42ND AVE S STE 100Minneapolis, MN 55406-3503
Mailing Address9114 Tyne LnInver Grove Heights, MN 55077-4438 · (651) 347-5334
Phone(612) 405-3554
Fax(612) 400-1100
Sole ProprietorNo
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 18, 20262 updates tracked since enumeration
NPPES CertifiedJuly 18, 2026
✔ NPI 1316476179 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 14275
Also ListedRegistered NurseTaxonomy 163W00000X · License R-217656-3 (MN)
3809 42ND AVE S STE 100, Minneapolis, MN 55406
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Urgent Care)
3809 42ND AVE S STE 100
MINNEAPOLIS, MN 55406
MINNEAPOLIS, MN 55406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316476179, enumerated as an "individual" on June 06, 2017.
The provider is located at 3809 42ND AVE S STE 100 MINNEAPOLIS, MN 55406 and the phone number is (612) 405-3554.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.