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Contact Information

NICOLE M CULLEN, DPM
9055 SPRINGBROOK DR NW
COON RAPIDS, MN55433-5841
 Phone: 763-780-9155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NICOLE M CULLEN · (Female)

NPI # 1114257656
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 01/06/2010
Last updated 11/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 884
  • ND Medicaid 17185
  • ND Medicaid 17895
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
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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