Individual
JEANNE MARIE THORESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNP
Contact information
Practice address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
(507) 529-6622
Mailing address
210 9TH ST SE, ROCHESTER, MN 55904-6756
(507) 288-3443
(507) 529-6622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R090654-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090042700
—
MN
01
—
500002597
MEDICARE RAILROAD
MN
Enumeration date
12/20/2005
Last updated
03/23/2015
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