Individual provider · Type 1 NPI

Theresa M. Havalad, NP

Nurse Practitioner · St. Paul, MN

NPI number 1942649181 Active

Practice location

870 Grand Ave
St. Paul, MN 55105-3291

Call (651) 326-5650 Map

Fax (651) 326-5671

Mailing address

1690 University Ave W Ste 370
St. Paul, MN 55104-3723

Other practice locations

610 S Maple Ave, Suite 4600, Oak Park, IL 60304-1091 · (708) 660-2240

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	041-374413 (IL)
Nurse Practitioner Primary	363L00000X	5534 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942649181

Theresa M. Havalad, NP's National Provider Identifier is 1942649181, issued on Jun 20, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Paul, MN. The record was last updated on Mar 17, 2018.