Individual
VICTORIA RAE TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Contact information
Practice address
705 PLEASANT AVE S, PARK RAPIDS, MN 56470-1440
(218) 732-2800
(218) 732-2857
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 732-2800
(218) 732-2857
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP 2769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
555025400
—
MN
Enumeration date
07/22/2006
Last updated
12/24/2015
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