Individual
TERESA ANN DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9208 ST CROIX TRAIL, NORTH BRANCH, MN 55056
(651) 347-8424
Mailing address
9208 ST CROIX TRAIL, NORTH BRANCH, MN 55056
(651) 347-8424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1542376
MN
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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