Individual
TERESA BEKKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14001 RIDGEDALE DR STE 100, MINNETONKA, MN 55305-1781
(952) 473-0211
(952) 473-7908
Mailing address
1960 SHENANDOAH CT UNIT B, PLYMOUTH, MN 55447-6419
(612) 226-5670
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4828
MN
Other
Enumeration date
12/09/2016
Last updated
12/09/2016
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