# DR. NICOLE CHAISSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134156359
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 44929 | MN | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | 44929 | MN | — |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 02/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-19354 | MEDICA CHOICE & PRIMARY | MN |
| 05 | — | 0586313 | — | IA |
| 01 | — | 1034699 | PREFERRED ONE | MN |
| 01 | — | 171902 | UCARE | MN |
| 01 | — | 2298998 | ARAZ | MN |
| 01 | — | 551T1CH | BCBS | MN |
| 01 | — | HP39171 | HEALTHPARTNERS | MN |