Individual
TAMMIE BURNOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(651) 635-9173
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1197239
MN
363LF0000X
Family Nurse Practitioner
R1197239
MN
Other
Enumeration date
05/29/2014
Last updated
06/26/2023
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