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

Mrs. Pandora Bazen Dickson

Individual provider Medical-Surgical Registered Nurse · NPI 1578101747

Mrs. Pandora Bazen Dickson is a Medical-Surgical Registered Nurse in Champlin, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

7400 122nd Ave N
Champlin, MN 55316-2127
Phone: (763) 458-2415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7270 (MN)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence R188972-5 (MN)

Record details

NPI number1578101747
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 18, 2019
Last updated in NPPESJune 14, 2023
Certification dateOctober 22, 2020