Individual
BIYE TAMBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9555 UPLAND LN N, MAPLE GROVE, MN 55369-4485
(952) 993-1440
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
CNP4734
MN
363LP2300X
Primary Care Nurse Practitioner
R216268-7
MN
363LP2300X
Primary Care Nurse Practitioner
R38221
ND
Other
Enumeration date
08/09/2016
Last updated
07/02/2021
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