Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohamed Omar

Individual provider Family Nurse Practitioner · NPI 1639881501

Mohamed Omar is a Family Nurse Practitioner in Minneapolis, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

1516 E Lake St Ste 1512
Minneapolis, MN 55407-1997
Phone: (612) 345-4929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2466238 (MN)

Record details

NPI number1639881501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

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