NPI

Nicole M Clements

NPI 1275738403

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
pac
Type
Individual
Enumeration date
2007-06-18
Last updated
2022-11-30

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Specialties

Licenses

License MN
10081

Location

Practice location
9555 Upland Ln N
City
Maple Grove MN
Postal code
55369-4485
Phone
(952) 977-0275

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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