Individual
MRS. STEPHANIE JO NIKLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
3443 24TH AVE S, MINNEAPOLIS, MN 55406-2501
(612) 730-4634
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2009006856
MN
Other
Enumeration date
08/10/2009
Last updated
09/05/2025
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