Provider Demographics
NPI:1619329687
Name:MEKKELSEN, NORMAN BILLINGS III (NP)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:BILLINGS
Last Name:MEKKELSEN
Suffix:III
Gender:M
Credentials:NP
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Mailing Address - Street 1:8251 COLUMBINE RD
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7610
Mailing Address - Country:US
Mailing Address - Phone:952-941-1266
Mailing Address - Fax:952-941-5296
Practice Address - Street 1:8251 COLUMBINE RD
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7610
Practice Address - Country:US
Practice Address - Phone:952-941-1266
Practice Address - Fax:952-941-5296
Is Sole Proprietor?:No
Enumeration Date:2016-07-01
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNCNP4492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily