Individual
JULIE GUENTHER TEBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3485 WILLOW LAKE BLVD, SUITE 100, VADNAIS HEIGHTS, MN 55110-5152
(651) 484-5567
(165) 134-4440
Mailing address
3485 WILLOW LAKE BLVD, SUITE 100, VADNAIS HEIGHTS, MN 55110-5152
(651) 484-5567
(165) 134-4440
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R119158-1
MN
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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