Individual
NICOLE MARIE HENTGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
5520 RIDGEWOOD CV, MINNETRISTA, MN 55364-8239
(612) 865-5262
(763) 565-3306
Mailing address
21897 S DIAMOND LAKE RD, # 403, ROGERS, MN 55374-4642
(612) 865-5262
(763) 565-3306
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
R161296-3
MN
Other
Enumeration date
09/21/2007
Last updated
09/12/2018
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