Individual
THERESA LUDEWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1431 PREMIER DR, MANKATO, MN 56001-6076
(507) 386-6600
Mailing address
1431 PREMIER DR, MANKATO, MN 56001-6076
(507) 386-6600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP4371
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4371
CNP LICENSE
MN
Enumeration date
02/03/2016
Last updated
12/14/2022
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