NPI 1114315678
Teresa Bushnell
Practice location
- Address
- 636 Broadway St NE, Minneapolis, MN 55413-2164
- Phone
- (612) 746-1530
- Mailing address
- 10845 E Wegener Rd, Hibbing, MN 55746-8231
Registered specialties
Dental Therapist
Primary
Registry record
- NPI
- 1114315678
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Jan 2015
- Record last updated
- 17 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.