Whalio Doctors

NPI 1912391145

Nicole Marie Therrien, MD

Practitioner Dermatopathology (Pathology) Physician Roseville, MN

Practice location

Address
2720 Fairview Ave N STE 200, Roseville, MN 55113-1306
Phone
(651) 633-6883
Mailing address
200 1st St SW, Rochester, MN 55905-0001

Registered specialties (5)

Dermatopathology (Pathology) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X Licence 67234 (MN)
Anatomic Pathology & Clinical Pathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 67234 (MN)
Anatomic Pathology & Clinical Pathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence CDRH.0061471 (CO)
Anatomic Pathology & Clinical Pathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 94728 (MT)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1912391145
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Mar 2015
Record last updated
28 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.