Individual
TIFFANY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, PHN, LSN
Contact information
Practice address
2632 BITTERSWEET LN, MAPLEWOOD, MN 55109-2104
(651) 242-3195
Mailing address
2632 BITTERSWEET LN, MAPLEWOOD, MN 55109-2104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2511704
MN
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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