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Individual

CHERYL L. PIETILA

Active
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Individual

CHERYL L. PIETILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3561
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP 3561
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00617240
MCR RAILROAD MEDICARE
MN
Enumeration date
02/15/2007
Last updated
03/11/2021
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