Nicholas Moore Southerton, MSN, CNP
NPI #1013691153 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1013691153
- Entity Type
- Individual
- Name
- Nicholas Moore Southerton, MSN, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- MSN, CNP
- Enumeration Date
- Jun 9, 2023
- Last Updated
- Jan 10, 2025
Practice Location
- Address
- 270 MAIN ST N STE 300
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6788
- Phone
- (651) 342-1039
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Primary Care — Primary Care |
| Nurse Practitioner - Gerontology — Gerontology |
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