Individual
KATHY TYSDAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSHYCHATRIC RNC
Contact information
Practice address
40520 CO HWY 34, WHITE EARTH HEALTH CENTER, OGEMA, MN 56569
(218) 983-4300
(218) 983-6217
Mailing address
24746 CO HWY 1, FERGUS FALLS, MN 56537
(218) 739-2753
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R1566585
MN
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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