Individual
TERESA D'ANN VALERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
Mailing address
49499 HOLASEK RD, DEER RIVER, MN 56636-2528
(309) 253-0081
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-004764
IL
363LF0000X
Family Nurse Practitioner
Primary
CNP 4338
MN
363LF0000X
Family Nurse Practitioner
R231593-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207414
MEDICARE GROUP NO.
—
Enumeration date
07/18/2006
Last updated
07/21/2022
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