Search › Minnesota › 363L00000X
Nicole Shockley, CNP
NPI 1124569041 · on the registry since 2017
Practice
- Address
- 4325 Grand Ave
Duluth, MN 55807 - Phone
- (218) 722-1497
- Fax
- (218) 722-6239
- Organisation at this address
- Lake Superior Community Health Center
Lake Superior Community Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 50
Additional practice sites
- 2222 E 5th St, Superior, WI
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
163W00000X
363L00000X - Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota