Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE LYNN ROEDER, MD
Active Sole ProprietorDR. NICOLE LYNN ROEDER, MD is a Pulmonary Disease healthcare provider located in WACONIA, Minnesota. NPI 1568737716 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Disease · WACONIA, MN
Registration Details
- NPI Number
- 1568737716
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2012 (14.447576015588 yrs)
- Last Updated
- Nov 26, 2022
- License
-
63495 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
560 S MAPLE ST STE 400WACONIA, MN, 553871757Browse MN providers · Browse ZIP 55387
- Phone
- 9524422191
- Primary Specialty
-
Pulmonary Disease
207RP1001X
- Additional Specialty
- Pulmonary Disease
Other Pulmonary Disease Providers in WACONIA, MN
| Name | Credential | NPI |
|---|---|---|
| RAVI VAELA | M.D. | 1184691826 |
| DR. BARRETT PAUL LARSON II | M.D. | 1114171014 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.