Individual
POLLY A NESSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15700 37TH AVE N STE 300, PLYMOUTH, MN 55446-3661
(612) 871-1145
(612) 870-5491
Mailing address
PO BOX 14909, MINNEAPOLIS, MN 55414-0909
(612) 870-5557
(612) 870-5857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R1127173
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108816500
—
MN
Enumeration date
03/23/2006
Last updated
04/24/2018
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