Carlson, Nicole Anne Bemmels

Carlson, Nicole Anne Bemmels is an individual health care provider with primary practice located at 6500 Excelsior Park Nicollet Heart And Vascular Center, St. Luois Park MN 55426. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carlson, Nicole Anne Bemmels can be contacted via phone (612) 423-9088.

Contact Information

Primary practice address
6500 Excelsior Park Nicollet Heart And Vascular Center St. Luois Park MN 55426
Phone: (612) 423-9088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9899 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9899 Minnesota

Profile Details

NPI number 1700820883
LBN Legal business name Carlson, Nicole Anne Bemmels
Credentials M.S.P.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 26th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700820883 NPPES
Wisconsin MEDICAID 41995800
Wisconsin Other 01-06279
Wisconsin Other 2230947
Wisconsin Other 616R8BE
Wisconsin Other 01-19215
Wisconsin Other 132339
Wisconsin Other B018
Wisconsin MEDICAID 916427800
Wisconsin Other 1042013
Wisconsin Other HP46702

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