Individual
STEPHANIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1979 SOTLICH RD, ELY, MN 55731-8239
(218) 349-3967
Mailing address
1979 SOTLICH RD, ELY, MN 55731-8239
(218) 349-3967
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP 3661
MN
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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