Blackwood, Nicole P
Blackwood, Nicole P is an sole proprietor health care provider with primary practice located at 2925 Chicago Ave Mail Route 10735, Minneapolis MN 55407-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Blackwood, Nicole P can be contacted via phone (612) 262-7800.Contact Information
Primary practice address
2925 Chicago Ave Mail Route 10735
Minneapolis MN 55407-1321
Phone: (612) 262-7800
Fax: (612) 262-7022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 7298 | Minnesota |
Profile Details
| NPI number | 1609857572 |
|---|---|
| LBN Legal business name | Blackwood, Nicole P |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jan 25th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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