Individual provider · Type 1 NPI

Nicole Marie Jenabzadeh, CNP

Family Nurse Practitioner · Minnetonka, MN

NPI number 1215224092 Active

Practice location

130 Cheshire Ln Ste 100
Minnetonka, MN 55305-0002

Call (952) 807-0415 Map

Fax (952) 236-6461

Mailing address

PO Box 308
Forest Lake, MN 55025-0308

Other practice locations

  • 7591 9th St N Ste 100, Oakdale, MN 55128-6626 · (952) 807-0415

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF05111030 (MN)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1215224092

Nicole Marie Jenabzadeh, CNP's National Provider Identifier is 1215224092, issued on Jun 30, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Minnetonka, MN. The record was last updated on Mar 24, 2022.