Individual
MRS. TIFFANY ALYSE HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
11010 PRAIRIE LAKES DR, SUITE 250, EDEN PRAIRIE, MN 55344-3884
(952) 746-2522
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10121
MN
Other
Enumeration date
07/21/2006
Last updated
12/08/2008
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