Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa M Havalad, NP

Individual provider Nurse Practitioner · NPI 1942649181

Theresa M Havalad, NP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2013, 13 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Minnesota.

Years since qualifying
13
Licensed in
IL, MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

870 Grand Ave
Saint Paul, MN 55105-3291
Phone: (651) 326-5650
Fax: (651) 326-5671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 610 S Maple Ave, Oak Park, IL 60304-1091 — (708) 660-2240

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5534 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 041-374413 (IL)

Record details

NPI number1942649181
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 20, 2013
Last updated in NPPESMarch 17, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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