Individual provider · Type 1 NPI
Roxanne Michelson, PNP
Nurse Practitioner · Minneapolis, MN
Practice location
2220 Riverside Ave S, Mail Stop 31700A
Minneapolis, MN 55454-1321
Fax (612) 371-1732
Mailing address
8100 34th Ave S, 21110Q
Bloomington, MN 55425-1672
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 0677860 (MN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1861469769
Roxanne Michelson, PNP's National Provider Identifier is 1861469769, issued on Mar 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 13, 2026.