Individual
NANCY JEAN CERYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 S 8TH ST, MINNEAPOLIS, MN 55404-1292
(612) 873-6176
Mailing address
14309 LENNELL DR, MINNETONKA, MN 55345-2316
(952) 484-7736
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R160111-0
MN
Other
Enumeration date
09/01/2006
Last updated
12/17/2012
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