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Contact Information

LAURA M NILAN, DO
8100 NORTHLAND DR
BLOOMINGTON, MN55431-4800
 Phone: 952-831-8742
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for LAURA M NILAN · (Female)

NPI Number 1568789352
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/03/2010
Last updated 06/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 62719
  • MO License # 2013018502
Hospital affiliation(s)
  • PARK NICOLLET METHODIST HOSPITAL - (Acute Care)
    6500 EXCELSIOR BLVD
    SAINT LOUIS PARK, MN 55426
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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