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Individual
MRS. TYFANAE BRINKE
Active
Individual
MRS. TYFANAE BRINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
114314
AK
363LF0000X
Family Nurse Practitioner
Primary
114314
AK
Other
Enumeration date
08/04/2016
Last updated
09/04/2024
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