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NPI Code Detail

MEDICARE: MRS. NICOLE MARIE BURROWS FNP

MEDICARE:  MRS. NICOLE MARIE BURROWS  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 PractitionerA171144IA
2363LF0000XFamily Nurse Practitioner11021429FL
3363LF0000XFamily Nurse PractitionerR35843ND
4363LF0000XFamily Nurse Practitioner12246-33WI
5363LF0000XFamily Nurse Practitioner8717MN
6363LF0000XFamily Nurse PractitionerCP002550SD

General Provider Information

NPI Number : 1811602428
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE MARIE BURROWS FNP
Provider Business Mailing Address
First Line : 23829 CANTERBURY LN
Second Line :
City : FERGUS FALLS
State : MN
Zip : 56537-8113
Country : US
Telephone Number : 218-205-3869
Fax Number :
Provider Business Practice Location Address
First Line : 820 LILAC DR N STE 210
Second Line :
City : GOLDEN VALLEY
State : MN
Zip : 55422-4754
Country : US
Telephone Number : 763-205-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2023
Last Update Date : 01/18/2023

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Directions to “ MRS. NICOLE MARIE BURROWS FNP” Practice Location

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