Nelson, Noelle M

Nelson, Noelle M is an individual health care provider with primary practice located at 8100 W 78Th St # St100 , Edina MN 55439-2516. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Nelson, Noelle M can be contacted via phone (952) 914-8100.

Contact Information

Primary practice address
8100 W 78Th St # St100 Edina MN 55439-2516
Phone: (952) 914-8100
Fax: (952) 914-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41692 Minnesota
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 64916 Minnesota

Profile Details

NPI number 1427118975
LBN Legal business name Nelson, Noelle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 10th, 2020 - about 4 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 1427118975 NPPES
Minnesota MEDICAID 629628900

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