| Doctor Name: | CHERYL L. PIETILA |
| NPI Number: | 1255474508 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | R132704-1 |
| Business Practice Address: | 1324 5th St N New Ulm, MN - 560731514 |
| Business Phone Number: | 5072175000 |
| Business Fax Number: | |
| Mailing Address: | 14530 40th Pl N, PLYMOUTH |
| State: | MN |
| Postal Code: | 554463312 |
| Phone Number: | 5072599471 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2007 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | R132704-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |