Individual
MRS. PAMELA MARIE TIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
618 ROLLING MEADOWS LN SE, NEW PRAGUE, MN 56071-4022
(952) 758-2908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 109339-1
MN
Other
Enumeration date
12/26/2006
Last updated
01/07/2021
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