IndividualActive
Nicole Bauerly, DPM
NPI 1881811206 · Foot & Ankle Surgery Podiatrist · Minneapolis, MN
Provider details
- NPI number
- 1881811206
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- No
- License
- 788 (MN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
701 Park Ave
Minneapolis, MN 55415-1623
Phone: (612) 873-4220
Approximate (ZIP-level) locationGet directions
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2010-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.