NICOLE PALM


Address: 4729 County Road 101, Minnetonka, MN 55345-2634
Phone: 9529743200

NICOLE PALM (NPI# 1104008093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104008093
Entity Type Individual
Full Name NICOLE PALM
Credential PAC
Practice Address 4729 County Road 101
Minnetonka
MN 55345-2634
Practice Telephone 9529743200
Practice Fax Number 9529743201
Mailing Telephone 9529743200
Mailing Fax Number 9529743201
Enumeration Date 2007-12-03
Last Update Date 2007-12-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1081 MN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN MN REGISTRATION 1081 01

Other Providers NICOLE PALM

NPI Name Taxonomy Address Enumeration
1790191849 Nicole Palm Pharmacist 1401 Slate Ct, Cleveland Heights, OH 44118-1417 2014-07-09
1497168330 Nicole Floyd Palm Internal Medicine 7800 Lake Underhill Rd, Orlando Medical Centers, Orlando, FL 32822 2014-06-09

Office Location

Street Address 4729 COUNTY ROAD 101
City MINNETONKA
State MN
Zip Code 55345-2634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750332649 Mark Edward Stevenson Family Medicine 4729 County Road 101, Minnetonka, MN 55345-2634 2006-05-15
1528554409 Jeremy Eugene Miller Massage Therapist 4729 County Road 101, Minnetonka, MN 55345-2634 2018-07-03
1144636838 Allie Rae Nowak Physician Assistant 4729 County Road 101, Minnetonka, MN 55345-2634 2014-07-02
1497160246 Katarina Ruth Astrup Physician Assistant 4729 County Road 101, Minnetonka, MN 55345-2634 2014-06-30
1053737619 Allina Health System Clinic/Center 4729 County Road 101, Minnetonka, MN 55345-2634 2014-03-06
1730436288 Emily Knaeble Physician Assistant 4729 County Road 101, Minnetonka, MN 55345-2634 2012-08-14
1942530464 John Alan Hitt Internal Medicine 4729 County Road 101, Minnetonka, MN 55345-2634 2010-01-05
1568600484 Vikisha A Goberdhan Physician Assistant 4729 County Road 101, Minnetonka, MN 55345-2634 2009-01-30
1033354832 Teresa P Angier Physician Assistant 4729 County Road 101, Minnetonka, MN 55345-2634 2008-12-08
1801057559 Angela A Moreira Physician Assistant 4729 County Road 101, Minnetonka, MN 55345-2634 2008-06-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417587205 Pain Partners LLC Pharmacist 15225 Wild Wings Court, Minnetonka, MN 55345 2020-01-21
1356811608 Caitlin Marie Peterson Specialist/Technologist 15708 Wood Knoll Lane, Minnetonka, MN 55345 2018-11-29
1649747007 West Side Counseling LLC Community/Behavioral Health 10520 Wayzata Blvd., Suite 100, Minnetonka, MN 55345 2018-10-24
1689173247 Theresa Tsuchiya Psychologist Relate, Inc., 5125 County Road 101, Suite 300, Minnetonka, MN 55345 2018-02-08
1497264147 Minnetonka Assisted Living and Hospice Community Health Worker 14667 Lake Street Extension, Minnetonka, MN 55345 2017-09-26
1619494671 Shree Revenue Management Durable Medical Equipment & Medical Supplies 6117, Creek Ridge Ct, Minnetonka, MN 55345 2017-08-29
1538606876 Stefani Yanizeski Speech-Language Pathologist Minnesota Autism Center, 5710 Baker Road, Minnetonka, MN 55345 2017-01-25
1790157469 Greg Anderson Psychologist 5125 County Road 101, #300, Relate, Inc., Minnetonka, MN 55345 2015-10-21
1861896375 Kristine L Smith Marriage & Family Therapist 5125 County Road 101 Suite 300, Minnetonka, MN 55345 2014-10-13
1982014460 Miranda Jean Johnson Speech-Language Pathologist 15265 Minnetonka Blvd., Minnetonka, MN 55345 2014-05-06
Find all providers in zip 55345

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306383609 Kathryn Gestach Physician Assistant 14001 Ridgedale Dr, Suite 100, Minnetonka, MN 55305-1753 2017-01-24
1598099418 Andrew Gilbert Physician Assistant 2000 Plymouth Rd, Minnetonka, MN 55305-2366 2009-09-24
1306079652 Luke Hammer Physician Assistant 2000 Plymouth Rd, Minnetonka, MN 55305-2366 2009-09-02
1326203258 Amy Keding Physician Assistant 2000 Plymouth Rd, Minnetonka, MN 55305-2366 2008-07-21
1720248172 Jennifer Kupper Physician Assistant 2000 Plymouth Rd, Minnetonka, MN 55305-2366 2008-06-10
1336297043 Eric Harl Physician Assistant 2000 Plymouth Rd Ste 100, Minnetonka, MN 55305-2334 2007-01-08
1750368262 James M Bahrke Physician Assistant 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 2005-12-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255969150 Isaac Waalen Physician Assistant 5420 Circle Down, Minneapolis, MN 55416-1312 2020-03-28
1730643701 Christina Jones Physician Assistant 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 2019-01-24
1114492964 Molly Goss Physician Assistant 1817 Sunset Dr, Northfield, MN 55057-3246 2018-10-09
1932600160 Ellen Kathryn Freeman Physician Assistant 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 2018-02-22
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1457893984 Daniel Ryan Nguyen Physician Assistant 14551 Co Rd #11 #100, Burnsville, MN 55337 2016-11-15
1538545686 Kathryn Jelle Physician Assistant 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 2015-07-30
1831503267 Karrah Oliver Physician Assistant 205 Roosevelt Ave W, Karlstad, MN 56732-4022 2014-06-13
1477981777 Melissa Ferraz De Toledo Physician Assistant 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 2013-10-23
Find all providers with the same taxonomy

Competitor

Search similar providers

City MINNETONKA
Zip Code 55345

Improve Information

Please comment or provide details below to improve the information on NICOLE PALM.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches