Most Relevant Information
Provider Data
| NPI Number: | 1003012667 |
| Provider Name: | CHERIE S. NIENOW RN, CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | R 125335-1 |
Most Important Dates
| Enumeration Date: | 06/21/2007 |
| Last Updated: | 07/20/2021 |
Provider Practice Location
2355 HIGHWAY 36 W STE 100
ROSEVILLE
MN
551133905
Practice Location Phone/Fax
| Phone: | 6512922000 |
| Fax: |
Provider Mailing Location
2355 HIGHWAY 36 W STE 100
ROSEVILLE
MN
551133905
Provider Mailing Phone/Fax
| Phone: | 6512922000 |
| Fax: |