Individual
PAMELA ANN NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3400 W 66TH ST, SUITE 400, EDINA, MN 55435-2111
(952) 836-3637
Mailing address
3400 W 66TH ST, SUITE 400, EDINA, MN 55435-2111
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R0895749
MN
Other
Enumeration date
08/18/2006
Last updated
11/10/2020
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