Blackwood, Nicole P

Blackwood, Nicole P is an sole proprietor health care provider with primary practice located at 2925 Chicago Ave Mail Route 10735, Minneapolis MN 55407-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Blackwood, Nicole P can be contacted via phone (612) 262-7800.

Contact Information

Primary practice address
2925 Chicago Ave Mail Route 10735 Minneapolis MN 55407-1321
Phone: (612) 262-7800
Fax: (612) 262-7022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 7298 Minnesota

Profile Details

NPI number 1609857572
LBN Legal business name Blackwood, Nicole P
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Jan 25th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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