| Dykstra Dbp | |
|
1309 Thomas Ct Northfield MN 55057-3110 | |
| (712) 441-2748 | |
| Not Available |
| Full Name | Dykstra Dbp |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1309 Thomas Ct, Northfield, Minnesota |
| Authorized Official Name and Position | Tressa Dykstra (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 7124412748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dykstra Dbp 1309 Thomas Ct Northfield MN 55057-3110 Ph: (712) 441-2748 | Dykstra Dbp 1309 Thomas Ct Northfield MN 55057-3110 Ph: (712) 441-2748 |
| NPI Number | 1659004711 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659004711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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