Individual
TINA BENGTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
440 ELM ST E, ANNANDALE, MN 55302-1109
(320) 274-3744
(320) 274-8194
Mailing address
8936 LYNDALE AVE S, BLOOMINGTON, MN 55420-2742
(952) 881-0163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8311
MN
Other
Enumeration date
07/19/2021
Last updated
11/17/2022
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