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Individual
MRS. TESSA J. THORSTENSON
Active
Individual
MRS. TESSA J. THORSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001985
IN
363L00000X
Nurse Practitioner
71001985A
IN
363LF0000X
Family Nurse Practitioner
28153975A
IN
363LF0000X
Family Nurse Practitioner
Primary
71001985A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859420
—
IN
Enumeration date
10/27/2005
Last updated
11/19/2020
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