Individual
MISS NICOLE ALEXANDRIA SCHWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1872 3RD AVE, NEWPORT, MN 55055-1032
(612) 209-8261
Mailing address
1872 3RD AVE, NEWPORT, MN 55055-1032
(612) 209-8261
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L-063492-6
MN
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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