IndividualActive
Cynthia Nicholson, MD
NPI 1619381381 · Pediatric Dermatology Physician · Minneapolis, MN
Provider details
- NPI number
- 1619381381
- Entity type
- Individual
- Primary specialty
- Pediatric Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 4301510051 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 672-6000
Street-level locationGet directions
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Additional practice locations (2)
- 1500 E Medical Center DrAnn Arbor, MI 48109-5000Phone: (734) 936-4000
- 1101 W University Dr3-NorthRochester, MI 48307-1863Phone: (248) 601-4900Fax: (248) 601-4994
Registry dates
- Enumerated
- 2014-06-20
- Last updated
- 2023-09-19
- Certified
- 2023-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.