Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa Rose Bly, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1760460836

Theresa Rose Bly, APRN, CNP is a Nurse Practitioner in Marshall, Minnesota. Qualified in 1999, 27 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
In the registry since
2006
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

300 S Bruce St
Marshall, MN 56258-1934
Phone: (507) 537-9007
Fax: (507) 537-2720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0742 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R 088633 4 (MN)

Record details

NPI number1760460836
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESMarch 9, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 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

Other providers in Marshall