# MS. NICOLE ANVINSON

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

## Provider details

- **NPI number:** 1518923994
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 9504 | MN | — |
| 363A00000X | Physician Assistant | PAC0232 | ND | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 07/30/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1453358 | — | ND |
| 01 | — | 18686 | ND BC/BS | ND |
| 05 | — | 243620500 | — | MN |
| 01 | — | 80D90AV | MN BC/BS | MN |