Provider Demographics
NPI:1932367760
Name:KILIAN, TERESA JEAN (ANPR, CNP)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:JEAN
Last Name:KILIAN
Suffix:
Gender:F
Credentials:ANPR, CNP
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:JEAN
Other - Last Name:DUSCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 LABORE RD.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:VADNAIS HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55110-5186
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3301 7TH AVE
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303
Practice Address - Country:US
Practice Address - Phone:651-431-5207
Practice Address - Fax:651-431-7738
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2213363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health