Trudy Terreen Ujdur, MA, C-FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tracy, MN
NPI 1497938369 · NPPES record last updated Jun 30, 2017
Key facts
- NPI
- 1497938369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- CNP3703 (MN)
- Practice address
- 251 5TH St E
Tracy, MN 56175-1536 - Phone
- (507) 629-3520
- Fax
- (507) 212-8260
- NPI assigned
- Dec 13, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3703 | MN | MD | Optometrist |
| R073412-7 | MN | MD | Family Nurse Practitioner |
| CNP3703 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R073412-7 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP3703 | MN | Yes |
Addresses
Primary practice location
251 5TH St E
Tracy, MN 56175-1536
Mailing address
PO Box 1015
Tracy, MN 56175-0015
Phone (218) 310-7421
Other providers in Tracy, MN
- Tracy Ambulance Service, Inc.
- Tracy Area Schools
- Tracy Chiropractic, P.a.
- Tracy Healthcare Center, Inc
- Tracy Nursing Home Inc
- Kong Meng Yang
- Justin Tonchie Young
- Blythe S Zeug
All providers in Tracy, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.