Individual
NIKKI LYNN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
115 WILLOW ST W STE 4, DETROIT LAKES, MN 56501-3922
(701) 429-3896
Mailing address
12600 WHITEWATER DR STE 125, MINNETONKA, MN 55343-4602
(701) 429-3896
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7686
MN
Other
Enumeration date
09/01/2020
Last updated
07/12/2024
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