Individual
DR. NICOLE MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(218) 259-8588
Mailing address
19656 ROSEMARY RD, BRAINERD, MN 56401-6872
(218) 259-8588
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
119788
MN
1835P1200X
Pharmacotherapy Pharmacist
Primary
IND-897076
MN
Other
Enumeration date
09/23/2009
Last updated
02/12/2025
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