Individual
TIFFANIE J WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(612) 874-1292
Mailing address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(612) 874-1292
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 167747-4
MN
363LP0200X
Pediatric Nurse Practitioner
Primary
20130931
MN
Other
Enumeration date
06/15/2010
Last updated
04/09/2015
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