NPI 1902006166 · live from the CMS NPI Registry
Nicolle Renee Ahles-Moses, APRN, CNP
Nurse Practitioner, Pediatrics in Coon Rapids, MN. National Provider Identifier 1902006166, active.
NPI record
| NPI | 1902006166 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 10081 Dogwood St Nw Ste 100, Coon Rapids, MN 55448 |
| Practice phone | 763-783-3722 |
| Enumerated | July 24, 2007 |
| Last updated | March 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | CNP1814 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.