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Contact Information

NICOLE R BODNER, APRN, CNP
800 WASHINGTON AVE N
MINNEAPOLIS, MN55401-1330
 Phone: 612-873-6963
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for NICOLE R BODNER · (Female)

NPI Number 1588038830
Status Active
Credentials APRN, CNP
Entity Individual
Enumeration date 11/24/2015
Last updated 09/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # CNP 4288
  • MN License # R-1929698
Hospital affiliation(s)
  • HENNEPIN COUNTY MEDICAL CENTER - (Acute Care)
    701 PARK AVENUE
    MINNEAPOLIS, MN 55415
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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