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Individual

NICOLE K WYGANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, PHN, LSN

Contact information

Practice address
706 1ST ST, PRINCETON, MN 55371-1502
(763) 389-6195
Mailing address
30127 105TH ST, PRINCETON, MN 55371-6170
(612) 419-0211

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
502858
MN
163WC1500X
Community Health Registered Nurse
17656
MN
163WS0200X
School Registered Nurse
502858
MN

Other

Enumeration date
09/23/2022
Last updated
10/31/2022
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