Healthcare Provider Details

I. General information

NPI: 1629311089
Provider Name (Legal Business Name): NURA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2104 NORTHDALE BLVD NW SUITE 220
MINNEAPOLIS MN
55433-3046
US

IV. Provider business mailing address

2104 NORTHDALE BLVD NW SUITE 220
MINNEAPOLIS MN
55433-3046
US

V. Phone/Fax

Practice location:
  • Phone: 763-537-6000
  • Fax: 763-537-6666
Mailing address:
  • Phone: 763-537-6000
  • Fax: 763-537-6666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SANDFORD MATTHEW SCHOCKET
Title or Position: CEO
Credential: MD
Phone: 763-537-6000