Individual
MRS. NIRMALLA SINGH MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, CNS
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-4201
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
6861
MN
364SA2200X
Adult Health Clinical Nurse Specialist
2011012187
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2011012187
CLINICAL NURSE SPECIALIST
MN
01
—
6861
CERTIFIED NURSE PRACTITIONER
MN
Enumeration date
06/12/2013
Last updated
02/16/2024
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