Individual
NICOLE L CAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4638 VICTOR PATH NORTH, SUITE 900, HUGO, MN 55038
(651) 270-7012
Mailing address
28960 OLD TOWNE RD, CHISAGO CITY, MN 55013-9703
(651) 270-7012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2252733
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8330
MN
Other
Enumeration date
01/11/2017
Last updated
10/10/2023
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