Individual
NISSA L FELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6000 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2506
(952) 993-2506
Mailing address
800 W COLLEGE AVE STE 315, SAINT PETER, MN 56082-1498
(507) 933-7630
(507) 933-6074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1472284
MN
Other
Enumeration date
12/23/2005
Last updated
09/30/2020
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