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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE P BLACKWOOD, CRNP

Active Sole Proprietor

NICOLE P BLACKWOOD, CRNP is a Gerontological Clinical Nurse Specialist healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1609857572 is currently active in the NPPES registry. Verify at CMS.

Gerontological Clinical Nurse Specialist · MINNEAPOLIS, MN

Registration Details

NPI Number
1609857572
Provider Type
Individual
Gender
Female
NPI Issued
Nov 8, 2005 (20.729431433824 yrs)
Last Updated
Jan 25, 2024
License
7298 (MN)
Sole Proprietor
Yes

Practice Information

Address
2925 CHICAGO AVE
MAIL ROUTE 10735
MINNEAPOLIS, MN, 554071321
Browse MN providers · Browse ZIP 55407
Phone
6122627800
Fax
6122627022
Primary Specialty
Gerontological Clinical Nurse Specialist
364SG0600X

Other Gerontological Clinical Nurse Specialist Providers in MINNEAPOLIS, MN

Name Credential NPI
ROBERTA LYNN HUNA WAGNER AG-CNS 1932661402
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.