Individual
TIVERE OKRAKENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10625 48TH ST NE, ALBERTVILLE, MN 55301-4711
(763) 398-9105
Mailing address
10625 48TH ST NE, ALBERTVILLE, MN 55301-4711
(763) 398-9105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2473419
MN
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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