Individual
MRS. TESSA MARIE VAN OVERBEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 163130-0
MN
Other
Enumeration date
08/09/2011
Last updated
04/17/2017
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