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Individual

DR. NICOLE ENGLUND HEFFRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NICOLE HEFFRON

Contact information

Practice address
23 4TH ST SE STE 216, MINNEAPOLIS, MN 55414-1069
(651) 224-1541
Mailing address
630 3RD AVE SE, MINNEAPOLIS, MN 55414-1604
(612) 688-3602
(855) 538-9398

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4508
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
148445100
MN
01
322L4HE
BLUE CROSS BLUE SHIELD
MN
01
572G1EN
BLUE CROSS BLUE SHEILD
MN
Enumeration date
08/14/2006
Last updated
06/24/2025
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