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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERESA MALLOW

Active Sole Proprietor

TERESA MALLOW is a Adult Health Nurse Practitioner healthcare provider located in ST LOUIS PARK, Minnesota. NPI 1396055851 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · ST LOUIS PARK, MN

Registration Details

NPI Number
1396055851
Provider Type
Individual
Gender
Female
NPI Issued
Oct 19, 2010 (15.78354655351 yrs)
Last Updated
Oct 19, 2010
Licenses
A0810006 (MN)
G0810008 (MN)
Sole Proprietor
Yes

Practice Information

Address
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN, 554264702
Browse MN providers · Browse ZIP 55426
Phone
9529933123
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in ST LOUIS PARK, MN

Name Credential NPI
NANCY V REED 1366427049
MS. KATHRYN LYNN HOUSELOG ANP 1053577080
DIANNA EASTLICK CANP 1356595466
NATHAN L CHRISTENSON NP 1851608178
TRINETTE MCLAIN-WESSEH 1568767044
MRS. LAURA JOHANNA KOLAR ANP 1710282165
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.