Individual
TIFFANY VENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
1000 E 1ST ST, STE 404, DULUTH, MN 55805-2297
(218) 722-5513
Mailing address
1000 E 1ST ST, STE 404, DULUTH, MN 55805-2297
(218) 722-5513
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
01/29/2021
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