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Individual

TAYLOR NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, CNP, AGNP-C

Contact information

Practice address
18065 39TH PL N, PLYMOUTH, MN 55446-1334
(612) 618-0667
Mailing address
18065 39TH PL N, PLYMOUTH, MN 55446-1334
(612) 618-0667

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11332
MN
363LG0600X
Gerontology Nurse Practitioner
11332
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
11332
MN

Other

Enumeration date
02/27/2024
Last updated
12/30/2025
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