Individual
NICOLE P BLACKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2925 CHICAGO AVE, MAIL ROUTE 10735, MINNEAPOLIS, MN 55407-1321
(612) 262-7800
(612) 262-7022
Mailing address
2925 CHICAGO AVE, MAIL ROUTE 10735, MINNEAPOLIS, MN 55407-1321
(612) 262-7800
(612) 262-7022
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
7298
MN
Other
Enumeration date
11/08/2005
Last updated
01/25/2024
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