Therkildsen, Vicky L
Therkildsen, Vicky L is an individual health care provider with primary practice located at 1811 Weir Dr Ste 270 , Woodbury MN 55125-6741. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Therkildsen, Vicky L can be contacted via phone (651) 714-9646.Contact Information
Primary practice address
1811 Weir Dr Ste 270
Woodbury MN 55125-6741
Phone: (651) 714-9646
Fax: (651) 714-9647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | R 211111-7 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3034 | Minnesota |
Profile Details
| NPI number | 1598093536 |
|---|---|
| LBN Legal business name | Therkildsen, Vicky L |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2009 |
| Last updated | Jan 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598093536 | NPPES |
| Minnesota | Other | R 211111 - 7 | MEDICAL LICENSE |
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