Individual
DR. NICOLE MARIE NELSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2848 PATTON RD, ROSEVILLE, MN 55113-1100
(651) 796-5400
Mailing address
658 MERCURY DR W, SHOREVIEW, MN 55126-2040
(651) 636-2653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1175824
MN
1835P1200X
Pharmacotherapy Pharmacist
1175824
MN
Other
Enumeration date
10/03/2005
Last updated
09/11/2025
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