Individual
THERESE M CHENEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
6500 EXCELSIOR BLVD, PARK NICOLLET METHODIST HOSPITAL, ST LOUIS PARK, MN 55426-4702
(952) 993-5318
(952) 993-5345
Mailing address
8170 33RD AVE S # MS 21110Q, HEALTH PARTNERS PHYSICIAN SERVICES, BLOOMINGTON, MN 55425-4516
(952) 883-6212
(952) 883-9662
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1018172
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
R1018172
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
R1018172
MN
Other
Enumeration date
12/22/2006
Last updated
04/09/2015
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