Individual
NICOLE FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8301 GOLDEN VALLEY RD STE 100, GOLDEN VALLEY, MN 55427-4469
(763) 581-5150
(763) 581-5151
Mailing address
8301 GOLDEN VALLEY RD STE 100, GOLDEN VALLEY, MN 55427-4469
(612) 346-0151
(763) 520-3841
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R169979-5
MN
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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