Individual
CHERIE S. NIENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 125335-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488467000
—
MN
Enumeration date
06/21/2007
Last updated
07/20/2021
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