Individual
TINA POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
915 6TH AVE NE APT 301, BUFFALO, MN 55313-1862
(763) 228-5658
Mailing address
915 6TH AVE NE APT 301, BUFFALO, MN 55313-1862
(763) 228-5658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-228091-2
MN
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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