Individual
JAMES TUTU FISKE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP/PMHNP
Contact information
Practice address
3601 MINNESOTA DR STE 170, BLOOMINGTON, MN 55435-5202
(844) 994-3631
Mailing address
3601 MINNESOTA DR STE 170, BLOOMINGTON, MN 55435-5202
(612) 927-2040
(952) 400-5602
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11098
MN
Other
Enumeration date
07/21/2020
Last updated
12/22/2023
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