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

NICOLE GROENEWALD, LPN

Active Sole Proprietor

NICOLE GROENEWALD, LPN is a Licensed Practical Nurse healthcare provider located in ELLENDALE, North Dakota. NPI 1841969763 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · ELLENDALE, ND

Registration Details

NPI Number
1841969763
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2021 (4.8805402053982 yrs)
Last Updated
Sep 13, 2021
License
9498180-3101 (UT)
Sole Proprietor
Yes

Practice Information

Address
112 6TH AVE N
ELLENDALE, ND, 584367297
Browse ND providers · Browse ZIP 58436
Phone
3852852452
Primary Specialty
Licensed Practical Nurse
164W00000X
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.