Provider Demographics
NPI:1396037990
Name:ENCARNACION-NILSON, MICHELLE ELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:ELENA
Last Name:ENCARNACION-NILSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:DELORES
Other - Last Name:ENCARNACION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:516 DELAWARE ST SE
Mailing Address - Street 2:DEPARTMENT OF SURGICAL EDUCATION, PWB 11-145
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0356
Mailing Address - Country:US
Mailing Address - Phone:612-718-4517
Mailing Address - Fax:
Practice Address - Street 1:516 DELAWARE ST SE
Practice Address - Street 2:DEPARTMENT OF SURGICAL EDUCATION, PWB 11-145
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0356
Practice Address - Country:US
Practice Address - Phone:612-718-4517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-14
Last Update Date:2011-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program