Individual
ROXIE L TIENTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
405 KANSAS ST NW, PRESTON, MN 55965-8904
(507) 765-5324
Mailing address
405 KANSAS ST NW, PRESTON, MN 55965-8904
(507) 765-5324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R101606-4
MN
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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