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

Nicolette Blomme

Individual provider Physician Assistant · NPI 1902790991

Nicolette Blomme is a Physician Assistant in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

701 25th Ave S
Minneapolis, MN 55454-1513
Phone: (612) 330-1399
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1902790991
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2025
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025
Mailing address701 25th Ave S, Minneapolis, MN 55454-1513

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