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Individual

ANDREE WILSON-NIXA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14135 CEDAR AVE STE 100, APPLE VALLEY, MN 55124-4523
(952) 432-4373
Mailing address
9214 COLUMBUS AVE S, BLOOMINGTON, MN 55420-3848
(574) 855-0687

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13369
MN

Other

Enumeration date
05/25/2020
Last updated
01/02/2026
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