Individual provider · Type 1 NPI
Teresa Lee Van de Sande, NP
Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN
NPI number
1669107553
Active
Practice location
280 Smith Ave N Ste 450
St. Paul, MN 55102-2481
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8539 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669107553
Teresa Lee Van de Sande, NP's National Provider Identifier is 1669107553, issued on Jul 23, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Aug 9, 2022.