Individual
LINDA MAXINE NIELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1593 HEWITT AVE, SAINT PAUL, MN 55104-1221
(651) 645-9424
(651) 645-3216
Mailing address
1593 HEWITT AVE, SAINT PAUL, MN 55104-1221
(651) 645-9424
(651) 645-3216
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
R 1080210
MN
Other
Enumeration date
12/13/2014
Last updated
12/13/2014
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