Individual
MRS. TIFFANEY ANNE TWO EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3883 74TH AVENUE NORTHEAST, FORT TOTTEN, ND 58335
(701) 766-1600
(701) 766-1630
Mailing address
PO BOX 309, FORT TOTTEN, ND 58335-0309
(701) 766-1609
(701) 766-1630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R29206
ND
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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