Nicholas Moore Southerton is a Stillwater, Minnesota based nurse practitioner. Active license number of Nicholas Moore Southerton is 10301 for Gerontology in Minnesota. His current practice location is 270 Main St N Ste 300, Stillwater. Patients can reach him at 651-342-1039 or can fax him at 651-342-1428. Nicholas Moore Southerton is MSN, CNP and his NPI number (Unique professional ID assigned by NPPES) is 1013691153. Nicholas Moore Southerton has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Nicholas Moore Southerton speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Nicholas Moore Southerton
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
MSN, CNP
Practice Address:
270 Main St N Ste 300, Stillwater, Minnesota, 55082-6788
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1013691153
NPI Enumeration Date:
09 Jun, 2023
NPI Last Update On:
10 Jan, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicholas Moore Southerton are as mentioned below.
License Number
Specialization
State
Status
10301
Gerontology
Minnesota
Primary
10301
Nurse Practitioner
Minnesota
Secondary
10301
Adult Health
Minnesota
Secondary
10301
Primary Care
Minnesota
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Nicholas Moore Southerton 2124 144th Ln Ne, Ham Lake, Minnesota
Zip:
55304-6260
Phone Number:
763-248-4011
Patients can reach Nicholas Moore Southerton at 270 Main St N Ste 300, Stillwater, Minnesota or can call to book an appointment on 651-342-1039.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.