Individual provider · Type 1 NPI

Nick Hervatin

Student in an Organized Health Care Education/Training Program · Lilydale, MN

NPI number 1992628689 Active

Practice location

991 Sibley Memorial Hwy Ste 207
Lilydale, MN 55118-5116

Call (952) 443-4600 Map

Fax (952) 443-4604

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992628689

Nick Hervatin's National Provider Identifier is 1992628689, issued on Jul 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lilydale, MN. The record was last updated on Jul 31, 2026.