Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. PANDORA BAZEN DICKSON
Active Sole ProprietorMRS. PANDORA BAZEN DICKSON is a Family Nurse Practitioner healthcare provider located in CHAMPLIN, Minnesota. NPI 1578101747 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · CHAMPLIN, MN
Registration Details
- NPI Number
- 1578101747
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 18, 2019 (6.6526243500272 yrs)
- Last Updated
- Jun 14, 2023
- Licenses
-
R188972-5 (MN)7270 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7400 122ND AVE NCHAMPLIN, MN, 553162127Browse MN providers · Browse ZIP 55316
- Phone
- 7634582415
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in CHAMPLIN, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. JAN ELAINE YOUNGBLOOD | APRN, FNP-C | 1720042625 |
| JANET M SICILIANO | NP | 1598722308 |
| CHRISTINE PELTIER | BSN, RN-BC | 1528474392 |
| ELLEN FASTNER | NP | 1952719254 |
| EMILY MARGARET NELSON | CNP | 1881147601 |
| TIFFANY WATSON | CNP | 1578007571 |
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.