Nelson, Michelle M
Nelson, Michelle M is an individual health care provider with primary practice located at 5366 386Th St Ne , North Branch MN 55056-5833. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Nelson, Michelle M can be contacted via phone (651) 674-8353.Contact Information
Primary practice address
5366 386Th St Ne
North Branch MN 55056-5833
Phone: (651) 674-8353
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Community Health | 363LC1500X | R120703-5 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R120703-5 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3093 | Minnesota |
Profile Details
NPI number | 1700846052 |
---|---|
LBN Legal business name | Nelson, Michelle M |
Credentials | MSN, FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Nov 28th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700846052 | NPPES |
Minnesota | MEDICAID | 560650100 |
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