Individual
ELENUTE NICOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6525 DREW AVE S, EDINA, MN 55435-2103
(952) 920-6748
Mailing address
6525 DREW AVE S, EDINA, MN 55435-2103
(952) 920-6748
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46388
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
948L3NI
BCBS MN
MN
Enumeration date
03/30/2007
Last updated
07/10/2007
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