Individual provider · Type 1 NPI

Teresa Kiresuk, NP

Gerontology Nurse Practitioner · St. Paul, MN

NPI number 1093750499 Active

Practice location

1021 Bandana Blvd E, Suite 200
St. Paul, MN 55108-5113

Fax (651) 637-2961

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR1133714 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1093750499

Teresa Kiresuk, NP's National Provider Identifier is 1093750499, issued on Jun 19, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in St. Paul, MN. The record was last updated on Jul 8, 2007.