Individual
TIESHA ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
6008 67TH WAY N, BROOKLYN PARK, MN 55429-1592
(763) 226-5174
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
150004
MN
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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