Individual
JOEL DENNIS TUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1932 10TH AVE E, HIBBING, MN 55746-1614
(208) 757-3937
Mailing address
1932 10TH AVE E, HIBBING, MN 55746-1614
(208) 757-3937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
215610-1
MN
163W00000X
Registered Nurse
9317826
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
93089
UT
Other
Enumeration date
07/18/2013
Last updated
12/10/2015
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