Individual
NICOLE NIEUWSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CWON
Contact information
Practice address
2240 DREW AVE S, MINNEAPOLIS, MN 55416-3646
(701) 220-9262
Mailing address
2240 DREW AVE S, MINNEAPOLIS, MN 55416-3646
(701) 220-9262
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
40303
ND
163WX1500X
Ostomy Care Registered Nurse
40303
ND
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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