Nickel, Mary Ann

Nickel, Mary Ann is an individual health care provider with primary practice located at 6565 France Ave S Suite 200, Edina MN 55435-2137. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Nickel, Mary Ann can be contacted via phone (952) 920-2200.

Contact Information

Primary practice address
6565 France Ave S Suite 200 Edina MN 55435-2137
Phone: (952) 920-2200
Fax: (952) 920-0866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R0522737 Minnesota

Profile Details

NPI number 1679556070
LBN Legal business name Nickel, Mary Ann
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 7th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679556070 NPPES
Minnesota MEDICAID 237318100

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