Individual
MIRIAM ELAINE TELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
(218) 759-4807
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
(218) 759-4807
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
200650185NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3685
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R127204-4
MN
Other
Enumeration date
03/16/2007
Last updated
11/25/2024
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