Individual
REBECCA NILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-7422
Mailing address
720 WASHINGTON AVE SE STE 300, MINNEAPOLIS, MN 55414-2904
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3882
MN
Other
Enumeration date
12/02/2014
Last updated
02/03/2023
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