THEA MARIE NELSON
NPI 1558559088
Licensed Practical Nurse in Blaine, MN

Active since October 10, 2007
1013 111TH AVE NE, BLAINE, MN 55434(763) 245-3643(763) 862-7438 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Thea Marie Nelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEA MARIE NELSON (NPI 1558559088) is an individual licensed practical nurse in Blaine, Minnesota, licensed in Minnesota (L-038481-0) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1558559088
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameTHEA MARIE NELSON
Location Address1013 111TH AVE NEBlaine, MN 55434-4519
Mailing Address9465 Irving Ave NBrooklyn Park, MN 55444-2932 · (763) 657-0037 · Fax (763) 862-7438
Fax(763) 862-7438
Sole ProprietorNo
Enumeration DateOctober 10, 2007
NPI 1558559088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in MN · L-038481-0
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1013 111TH AVE NE, Blaine, MN 55434

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1013 111TH AVE NE
BLAINE, MN 55434
Licensed Practical Nurse
1013 111TH AVE NE
BLAINE, MN 55434
Licensed Practical Nurse
1013 111TH AVE NE
BLAINE, MN 55434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thea Nelson's NPI number?

The NPI number for Thea Nelson is 1558559088. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Where is Thea Nelson located?

Thea Nelson practices at 1013 111th Ave NE, Blaine, MN 55434. The listed phone number is (763) 245-3643.

What is Thea Nelson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Thea Nelson was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.