Healthcare Provider Details

I. General information

NPI: 1609515329
Provider Name (Legal Business Name): NORA ANN NELSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NORA ANN RIMATZKI MD

II. Dates (important events)

Enumeration Date: 06/01/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 28TH AVE S
MOORHEAD MN
56560-7926
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 701-234-2000
  • Fax:
Mailing address:
  • Phone: 605-328-9419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number83547
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: