Individual
NICOLLE MARIE UBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, CNM
Contact information
Practice address
117 GILLIS AVE NE, BRAINERD, MN 56401-3131
(218) 828-7773
(218) 828-2976
Mailing address
117 GILLIS AVE NE, BRAINERD, MN 56401-3131
(218) 828-7773
(218) 828-2976
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
CNM0226
MN
367A00000X
Advanced Practice Midwife
Primary
R 128894-4
MN
Other
Enumeration date
02/15/2011
Last updated
07/21/2022
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