Bursch-Tewalt, Kimberly Dawn
Bursch-Tewalt, Kimberly Dawn is an sole proprietor health care provider with primary practice located at 11884 237Th Ave Nw , Elk River MN 55330-8255. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bursch-Tewalt, Kimberly Dawn can be contacted via phone (763) 516-6777.Contact Information
Primary practice address
11884 237Th Ave Nw
Elk River MN 55330-8255
Phone: (763) 516-6777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7549 | Minnesota |
Profile Details
| NPI number | 1447857669 |
|---|---|
| LBN Legal business name | Bursch-Tewalt, Kimberly Dawn |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2020 |
| Last updated | Oct 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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