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Miss Nicole Ann Scanlon, NP
Psychiatric/Mental Health Nurse Practitioner in Fridley, Minnesota
NPI 1598401473

Nicole Ann Scanlon is a Psychiatric/Mental Health Nurse Practitioner based in Minneapolis, MN and is specialized in Psychiatric/Mental Health. Nicole Ann Scanlon practices in Fridley, MN and has the professional credentials of NP. The NPI Number for Nicole Ann Scanlon is 1598401473 and holds a License No. (Minnesota).

The current practice location address for Nicole Ann Scanlon is 480 Osborne Rd Ne Ste 260, Fridley, MN and can be reached out via phone at 763-236-5000.

Location: 480 Osborne Rd Ne Ste 260, Fridley, MN, 55407-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598401473
Provider Name
Nicole Ann Scanlon
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
480 Osborne Rd Ne Ste 260, Fridley, MN, 55407-1321
Phone Number
763-236-5000
Fax Number
Provider Enumeration Date
05/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 Osborne Rd Ne Ste 260
City
Fridley
State
Minnesota
Zip
55432-2866
Phone Number
763-236-5000
Fax Number
person
Provider Business Mailing Address Details
Address
480 Osborne Rd Ne Ste 260
City
Fridley
State
Minnesota
Zip
55432-2866
Phone Number
763-236-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
9390 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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