Individual
MRS. MICHELLE M NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
5366 386TH ST NE, NORTH BRANCH, MN 55056-5833
(651) 674-8353
Mailing address
760 W 4TH ST, RUSH CITY, MN 55069-9063
(320) 358-4784
(320) 358-4665
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
R120703-5
MN
363LF0000X
Family Nurse Practitioner
Primary
3093
MN
363LF0000X
Family Nurse Practitioner
R120703-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560650100
—
MN
Enumeration date
03/23/2006
Last updated
11/28/2023
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