Individual
TIFFANY PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9055 SPRINGBROOK DR., COON RAPIDS, MN 55433
(763) 780-9155
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2277682
MN
363L00000X
Nurse Practitioner
Primary
10458
MN
Other
Enumeration date
05/22/2023
Last updated
07/27/2023
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