Scanlon, Nicole Ann

Scanlon, Nicole Ann is an individual health care provider with primary practice located at 480 Osborne Rd Ne Ste 260 , Fridley MN 55432-2866. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Scanlon, Nicole Ann can be contacted via phone (763) 236-5000.

Contact Information

Primary practice address
480 Osborne Rd Ne Ste 260 Fridley MN 55432-2866
Phone: (763) 236-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9390 Minnesota

Profile Details

NPI number 1598401473
LBN Legal business name Scanlon, Nicole Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2022
Last updated Dec 20th, 2023 - about 3 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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