Individual
TERESA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
820 2ND AVE W, NEW ENGLAND, ND 58647
(701) 579-4348
(701) 579-4348
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0061
ND
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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