Individual
TIFFANY BRANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 PAUL BUNYAN DR NW, STE A, PMB 1008, BEMIDJI, MN 56601
(218) 203-5449
Mailing address
119 PAUL BUNYAN DR NW, STE A, PMB 1008, BEMIDJI, MN 56601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7968
MN
Other
Enumeration date
03/12/2021
Last updated
05/08/2024
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