Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edra Nordstrom, MD

Individual provider Internal Medicine Physician · NPI 1063823987

Edra Nordstrom, MD is an Internal Medicine in Saint Paul, Minnesota. Graduated from Indiana University School of Medicine in 2014, 12 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Trained at
Indiana University School of Medicine
Licensed in
MN
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 Wabasha St S
Saint Paul, MN 55107-1805
Phone: (952) 967-5584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 626-5031

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 63394 (MN)

Record details

NPI number1063823987
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESAugust 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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