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Contact Information

NICOLE P BLACKWOOD, CRNP
2925 CHICAGO AVE
MAIL ROUTE 10735
MINNEAPOLIS, MN55407-1321
 Phone: 612-262-7800
 Fax: 612-262-7022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for NICOLE P BLACKWOOD · (Female)

NPI # 1609857572
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 11/08/2005
Last updated 01/25/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 7298
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
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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