Individual
TERESA LEE VAN DE SANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
280 SMITH AVE N STE 450, SAINT PAUL, MN 55102-2481
(715) 821-0599
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8539
MN
Other
Enumeration date
07/23/2022
Last updated
08/09/2022
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