Individual
JADE RYAN TINKLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1018 6TH AVE, WORTHINGTON, MN 56187-2202
(605) 312-6595
Mailing address
6305 S VINEYARD AVE, SIOUX FALLS, SD 57108-3826
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
228052
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
2831
MN
367500000X
Certified Registered Nurse Anesthetist
CR001128
SD
367500000X
Certified Registered Nurse Anesthetist
D176196
IA
Other
Enumeration date
08/18/2021
Last updated
12/28/2023
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