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NPI Code Detail

MEDICARE: DR. HEATHER J. NIELSEN DNP, APRN, CNP, FNP

MEDICARE: DR. HEATHER J. NIELSEN DNP, APRN, CNP, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner6202MN

General Provider Information

NPI Number : 1386129492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER J. NIELSEN DNP, APRN, CNP, FNP
Provider Business Mailing Address
First Line : 210 9TH ST SE STE 1
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6400
Country : US
Telephone Number : 507-288-3443
Fax Number :
Provider Business Practice Location Address
First Line : 210 9TH ST SE STE 1
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-6400
Country : US
Telephone Number : 507-288-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2018
Last Update Date : 03/18/2020

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