Individual
TANYA LYNN VELISHEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, PHN, PNP-PC
Contact information
Practice address
2535 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3205
(612) 672-2350
Mailing address
845 HICKORY PL, JORDAN, MN 55352-1858
(612) 275-4416
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
CNP 4496
MN
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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