Nichole Hirsch Kuechle, HOLISTIC PRACTITIONE
Individual provider Active NPI Health & Wellness Coach · Long Lake, MN
NPI 1790367662 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1790367662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 520 Tamarack Ave
Long Lake, MN 55356-9417 - Phone
- (612) 418-3801
- NPI assigned
- Apr 21, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Yes |
Addresses
Primary practice location
520 Tamarack Ave
Long Lake, MN 55356-9417
Mailing address
520 Tamarack Ave
Long Lake, MN 55356-9417
Phone (612) 418-3801
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Desktop | Direct |
Other providers in Long Lake, MN
- Riley Sean Cullinane
- Douglas J McNaught D D S P a
- Stephanie Drake
- Alissa Huhn
- Jonathan Kodet
- Lake Minnetonka Counseling
- Lakeside Counseling
- Brianne Levandoski
- Lisa Bonahoom LLC
- Long Lake Assisted Living
All providers in Long Lake, MN · Health & Wellness Coach in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.