Individual provider · Type 1 NPI
Nicole P. Blackwood, CRNP
Gerontology Clinical Nurse Specialist · Minneapolis, MN
NPI number
1609857572
Active
Practice location
2925 Chicago Ave, Mail Route 10735
Minneapolis, MN 55407-1321
Fax (612) 262-7022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 7298 (MN) |
Gerontology Clinical Nurse Specialist: Definition to come...
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About NPI 1609857572
Nicole P. Blackwood, CRNP's National Provider Identifier is 1609857572, issued on Nov 8, 2005. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Minneapolis, MN. The record was last updated on Jan 25, 2024.