Individual
MIKAYLA R NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11995 SINGLETREE LN STE 325, EDEN PRAIRIE, MN 55344-5347
(651) 968-5201
(651) 968-5903
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(888) 919-1083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14571
MN
Other
Enumeration date
08/09/2023
Last updated
01/31/2025
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