Individual
ELIZABETH THERKILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
7901 BASS LAKE RD, NEW HOPE, MN 55428-3105
(763) 257-0130
Mailing address
PO BOX 772, MINUTECLINIC CREDENTIALING, ATTN: KRISTY OLIVER, WOONSOCKET, RI 02895-0784
(401) 770-1707
(401) 652-9787
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 111685-4
MN
Other
Enumeration date
11/18/2009
Last updated
12/29/2011
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