Individual
NYINMA TENPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6000 EARLE BROWN DR, BROOKLYN CENTER, MN 55430-2506
(952) 993-4900
(952) 993-4827
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10743
MN
363LG0600X
Gerontology Nurse Practitioner
10743
MN
Other
Enumeration date
10/02/2023
Last updated
12/21/2023
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