Individual
NICOLE RAE MISLIVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
7430 WENTWORTH AVE, RICHFIELD, MN 55423-4133
(612) 488-0040
(833) 973-4055
Mailing address
5375 HYLAND PL, MINNEAPOLIS, MN 55437-1927
(612) 275-9616
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10811
MN
Other
Enumeration date
09/27/2023
Last updated
01/23/2026
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