Individual
HEATHER ROCHELLE TESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Mailing address
2864 MIDDLE ST STE 100, LITTLE CANADA, MN 55117-1411
(651) 493-2055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3160
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R-168743-5
MN
Other
Enumeration date
10/22/2010
Last updated
02/21/2022
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