Nelson, Randal

Nelson, Randal is an individual health care provider with primary practice located at 2355 Highway 36 W Ste 100, Roseville MN 55113-3905. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Nelson, Randal can be contacted via phone (651) 292-2000.

Contact Information

Primary practice address
2355 Highway 36 W Ste 100 Roseville MN 55113-3905
Phone: (651) 292-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9982 Minnesota

Profile Details

NPI number 1558474197
LBN Legal business name Nelson, Randal
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Jul 20th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558474197 NPPES
Minnesota MEDICAID 970002312

Popular Providers