Individual
MRS. TIFFANY LYNN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5123 W 98TH ST # 2082, BLOOMINGTON, MN 55437-2040
(337) 991-9276
Mailing address
530 US HIGHWAY 12, WILSON, WI 54027-3940
(651) 269-9716
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10661-33
WI
363L00000X
Nurse Practitioner
5486
MN
363L00000X
Nurse Practitioner
Primary
AG08170049
MN
Other
Enumeration date
09/12/2017
Last updated
07/09/2025
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