Individual
TEENA PFLUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 222-1816
(651) 602-7517
Mailing address
5048 VINCENT AVE S, MINNEAPOLIS, MN 55410-2247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
122938-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102925
UCARE
MN
01
—
12-02805
MEDICA
MN
01
—
535R4FR
BCBS
MN
01
—
HP17703
HEALTH PARTNERS
MN
01
—
NA9021001234
PREFERRED ONE
MN
Enumeration date
03/27/2006
Last updated
07/08/2007
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