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

MS. Nicole Andrea Clare

Individual provider Speech-Language Pathologist · NPI 1083345219

MS. Nicole Andrea Clare is a Qualified Speech Language Pathologist in Maple Grove, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2022

Practice location Address checks out

8980 Zachary Ln N
Maple Grove, MN 55369-4018
Phone: (612) 767-7222
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 529154 (MN)

Record details

NPI number1083345219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Maple Grove