Individual
CHERYL L. PIETILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1324 5TH ST N, NEW ULM, MN 56073-1514
(507) 217-5000
Mailing address
1324 5TH ST N, NEW ULM, MN 56073-1514
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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