Individual
BECKY CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(708) 814-6930
Mailing address
17087 OHARA DR, PORT CHARLOTTE, FL 33948-2255
(708) 814-6930
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209-004543
IL
363LF0000X
Family Nurse Practitioner
2248
MN
363LF0000X
Family Nurse Practitioner
Primary
9352433
FL
Other
Enumeration date
03/27/2007
Last updated
09/09/2020
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