Organization
TWIN PORTS TELEMEDICINE LLC
Active
Other names
Twin Ports Telemedicine
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SHOCKLEY APRN (OWNER)
(888) 820-1235
Entity
Organization
Contact information
Practice address
4727 AUNE RD, SAGINAW, MN 55779-9682
(218) 391-6264
Mailing address
4727 AUNE RD, SAGINAW, MN 55779-9682
(218) 391-6264
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/03/2024
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