Healthcare Provider Details

I. General information

NPI: 1710220041
Provider Name (Legal Business Name): ANNE TERESA NESS DNP, RN, PHN, HNB-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3132 19TH AVE S
MINNEAPOLIS MN
55407-1902
US

IV. Provider business mailing address

7600 GOLDEN VALLEY RD APT 410
GOLDEN VALLEY MN
55427-4559
US

V. Phone/Fax

Practice location:
  • Phone: 612-807-5310
  • Fax:
Mailing address:
  • Phone: 612-274-5735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1239524
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1239524
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number1239524
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR 123952-4
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: