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Individual

ANNETA BABIKOVA TANGNESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,CNP, PMHNP-BC

Contact information

Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
Mailing address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 987-4241

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1751390
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7644
MN

Other

Enumeration date
10/29/2020
Last updated
12/09/2020
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