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Contact Information

MICHELLE M NELSON, MSN, FNP-BC
5366 386TH ST NE
NORTH BRANCH, MN55056-5833
 Phone: 651-674-8353
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Community Health

363LC1500X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MICHELLE M NELSON · (Female)

NPI # 1700846052
Status Active
Credentials MSN, FNP-BC
Entity Individual
Enumeration date 03/23/2006
Last updated 11/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 3093
  • MN License # R120703-5
  • MN Medicaid 560650100
Hospital affiliation(s)
  • FAIRVIEW LAKES MEDICAL CENTER - (Acute Care)
    5200 FAIRVIEW BOULEVARD
    WYOMING, MN 55092
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
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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