Theresa Rose Bly, APRN, CNP Valid NPI

Individual provider · Family Nurse Practitioner · Marshall, MN

NPI

1760460836

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

0742 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2006-01-09

Last updated

2015-03-09