Individual
NICOLE SEVERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
800 BEMIDJI AVE N, BEMIDJI, MN 56601-3054
(218) 308-2400
Mailing address
PO BOX 2928, PORTLAND, OR 97208-2928
(425) 207-5155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4955
MN
Other
Enumeration date
01/20/2017
Last updated
08/26/2024
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