Individual
MS. THERESA MARIE AUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3165 HARBOR LN N, #2-104, PLYMOUTH, MN 55447-5130
(612) 910-4832
Mailing address
3165 HARBOR LN N, #2-104, PLYMOUTH, MN 55447-5130
(612) 910-4832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R 177731-6
MN
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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