Nisha Agrawal
Optometrist
143 Willow Bnd
Crystal
, Minnesota 55428-3934
Nisha Agrawal
Optometrist
143 Willow Bnd
Crystal
, Minnesota 55428-3934
(763) 537-8532
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Nisha Agrawal
- 143 Willow Bnd
- Crystal, MN
- Zip : 55428-3934
- Phone : (763) 537-8532
Second Address
- Nisha Agrawal
- 143 Willow Bnd
- Crystal, MN
- Zip : 55428-3934
- Phone : (763) 537-8532
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3114 | MN |
National Provider Identifier
| NPI | 1003837683 |
|---|---|
| Provider Name | Nisha Agrawal |
| First Address | Crystal, MN 55428-3934 |
| Second Address | Crystal, MN 55428-3934 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 27/02/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.