Individual
MS. TATYANA MISHKIN GLEYZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1010 WEST SIXTH AVENUE, SHAKOPEE, MN 55379
(952) 496-4467
(952) 496-4911
Mailing address
1450 ENERGY PARK DRIVE, ST. PAUL, MN 55108-5274
(651) 361-7278
(651) 523-7139
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP1776
MN
363LA2200X
Adult Health Nurse Practitioner
CNP1776
MN
363LG0600X
Gerontology Nurse Practitioner
CNP1776
MN
Other
Enumeration date
03/26/2015
Last updated
04/03/2015
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