Individual
KIMBERLY ANNETTE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OPTUM CIR, EDEN PRAIRIE, MN 55344-2956
(800) 561-0861
Mailing address
1 OPTUM CIR, EDEN PRAIRIE, MN 55344-2956
(800) 561-0861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN-7262
TN
363L00000X
Nurse Practitioner
Primary
APN.28798RX
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3348345
—
TN
Enumeration date
07/21/2006
Last updated
04/01/2026
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