Thea Marie Nelson

Licensed Practical Nurse · Blaine, MN

Individual Active NPI

NPI number 1558559088

Practice location

1013 111TH Ave NE
Blaine, MN 55434-4519
Phone
(763) 245-3643
Fax
(763) 862-7438

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NPI record

NPI
1558559088
Entity type
Individual (Type 1)
Enumeration date
October 10, 2007
Last updated
October 10, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X L-038481-0 MN

Mailing address

9465 Irving Ave N
Brooklyn Park, MN 55444-2932
Phone
(763) 657-0037
Fax
(763) 862-7438

About Thea Nelson

Thea Marie Nelson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1013 111TH Ave NE, Blaine, MN 55434-4519. The NPI number 1558559088 was assigned on October 10, 2007 and the record was last updated on October 10, 2007.

Thea Nelson lists a license in the registry: #L-038481-0 (MN) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thea Marie Nelson?

The NPI number is 1558559088.

What is the phone number of Thea Nelson?

The phone number listed for the practice location is (763) 245-3643.

Where is Thea Nelson located?

1013 111TH Ave NE, Blaine, MN 55434-4519.

What is the taxonomy code for Thea Nelson?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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