Individual provider · Type 1 NPI

Nicole Terese Radke, CNP

Nurse Practitioner · Coon Rapids, MN

NPI number 1942776885 Active

Practice location

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522

Call (651) 635-9173 Map

Fax (651) 628-2999

Mailing address

10126 43rd Ct NE
St. Michael, MN 55376-3015

Other practice locations

550 Osborne Rd NE, Fridley, MN 55432-2718 · (651) 635-9173
550 Osborne Rd NE, Fridley, MN 55432-2718 · (651) 635-9173

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	6252 (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 1942776885

Nicole Terese Radke, CNP's National Provider Identifier is 1942776885, issued on Oct 18, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Mar 11, 2021.