Individual
NICOLE RAE PELACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
(612) 672-7422
(612) 884-0907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1207
MN
363LF0000X
Family Nurse Practitioner
R 130266-8
MN
Other
Enumeration date
09/11/2012
Last updated
02/11/2022
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