Individual
JULIA DANIELLE NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-7505
(612) 330-1388
Mailing address
4100 MONROE ST NE, COLUMBIA HEIGHTS, MN 55421-2819
(507) 456-2721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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