Therrien, Nicole Marie
Therrien, Nicole Marie is an individual health care provider with primary practice located at 2720 Fairview Ave N Ste 200 , Roseville MN 55113-1306. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Therrien, Nicole Marie can be contacted via phone (651) 633-6883.Contact Information
Primary practice address
2720 Fairview Ave N Ste 200
Roseville MN 55113-1306
Phone: (651) 633-6883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 67234 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | CDRH.0061471 | Colorado |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 94728 | Montana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | California | |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 67234 | Minnesota |
Profile Details
| NPI number | 1912391145 |
|---|---|
| LBN Legal business name | Therrien, Nicole Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2015 |
| Last updated | Nov 28th, 2022 - about 4 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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