Individual
DR. NICOLE LEE SAMUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP, DNP
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-6963
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10216-33
WI
Other
Enumeration date
05/19/2020
Last updated
10/09/2024
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