Dr. Nicole Marie Alcorn, ARNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. Individual provider (NPI-1).
NPI number1124796172
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1124796172
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Marie Alcorn
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2021
- Certification date
- Sep 3, 2021
- Last updated
- Sep 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 8487 | MN | Yes |
Practice location
2525 Chicago AveMinneapolis, MN 55404-4518
Phone 612-813-7888
Mailing address
2525 Chicago AveMinneapolis, MN 55404-4518
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