Individual
VIVIEN H JUTSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
920 BELL AVE, WESTBROOK, MN 56183-9669
(507) 274-6121
(507) 274-5630
Mailing address
920 BELL AVE, WESTBROOK, MN 56183-9669
(507) 274-6121
(507) 274-5630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R1598508
MN
Other
Enumeration date
07/31/2006
Last updated
05/09/2008
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