NPI 1023385887 · live from the CMS NPI Registry
Tressa G Dykstra, CNP
Nurse Practitioner, Pediatrics in Minneapolis, MN. National Provider Identifier 1023385887, active.
NPI record
| NPI | 1023385887 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2530 Chicago Ave, Minneapolis, MN 55404 |
| Practice phone | 612-813-6300 |
| Enumerated | November 22, 2011 |
| Last updated | December 5, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | 3420 (MN) |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 3420 (MN) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | CP000683 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.