Provider Demographics
NPI:1710220041
Name:NESS, ANNE TERESA (DNP, RN, PHN, HNB-BC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:TERESA
Last Name:NESS
Suffix:
Gender:F
Credentials:DNP, RN, PHN, HNB-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 GOLDEN VALLEY RD APT 410
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4559
Mailing Address - Country:US
Mailing Address - Phone:612-274-5735
Mailing Address - Fax:
Practice Address - Street 1:3132 19TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1902
Practice Address - Country:US
Practice Address - Phone:612-807-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1239524163W00000X, 163WH0200X, 163WP0808X
MNR 123952-4163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health