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

NICOLLE MICHELLE LANDE, PA

Active

NICOLLE MICHELLE LANDE, PA is a Physician Assistant healthcare provider located in ST PAUL, Minnesota. NPI 1881671162 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ST PAUL, MN

Registration Details

NPI Number
1881671162
Provider Type
Individual
Gender
Female
NPI Issued
Dec 28, 2005 (20.594123461692 yrs)
Last Updated
Jul 8, 2007
License
9821 (MN)

Practice Information

Address
2550 UNIVERSITY AVENUE WEST
SUITE 229N
ST PAUL, MN, 55114
Browse MN providers · Browse ZIP 55114
Phone
6516453115
Fax
6516452752
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ST PAUL, MN

Name Credential NPI
MICHAEL R TIMM PAC 1245202399
JAMES MARK NEWTON PA 1841263167
CONNIE JO A CALDWELL PA 1801860853
STEPHEN C WANDERSEE PA 1407822554
GEORGE G VUCKOVIC PA 1982670915
KELLY J ADAMS PA 1982670030
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.