Individual
NORA NASHAWATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCGC
Contact information
Practice address
640 JACKSON ST, MAILSTOP 11101G, ST. PAUL, MN 55101
(651) 254-9606
(651) 254-3470
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
(952) 967-7977
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
1256
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1256
GENETIC COUNSELING LICENSE
MN
Enumeration date
03/18/2019
Last updated
06/11/2019
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