Dishong, Nicole M

Dishong, Nicole M is an individual health care provider with primary practice located at 3625 W 65Th St Ste 100 , Edina MN 55435-2147. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dishong, Nicole M can be contacted via phone (952) 920-7001.

Contact Information

Primary practice address
3625 W 65Th St Ste 100 Edina MN 55435-2147
Phone: (952) 920-7001
Fax: (952) 920-2245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R44853 New Mexico
Other Service Providers / Midwife 176B00000X CNM647 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 304 Minnesota

Profile Details

NPI number 1205272481
LBN Legal business name Dishong, Nicole M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2013
Last updated Nov 21st, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205272481 NPPES
Minnesota Other H400317380 MEDICARE

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