Individual
NICOLE MARIE JENABZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
130 CHESHIRE LN STE 100, MINNETONKA, MN 55305-0002
(952) 807-0415
(952) 236-6461
Mailing address
PO BOX 308, FOREST LAKE, MN 55025-0308
(952) 807-0415
(952) 236-6461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F05111030
MN
Other
Enumeration date
06/30/2011
Last updated
03/24/2022
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