Individual
ANGELA LISA TUCHTENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6341 UNIVERSITY AVE NE, FRIDLEY, MN 55432-4946
(763) 572-5705
Mailing address
8972 81ST ST NW, ANNANDALE, MN 55302-2406
(763) 957-0705
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10523
MN
Other
Enumeration date
07/31/2023
Last updated
11/27/2023
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