Individual
EVELYN F NIETFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369
(763) 201-8191
(763) 201-8192
Mailing address
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-4466
(763) 201-8191
(763) 201-8192
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP306
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113787
MEDICA
MN
01
—
943041034607
PREFERRED ONE INSURANCE
MN
Enumeration date
09/27/2006
Last updated
06/13/2018
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