Individual
MRS. SASHA MARIE TISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R175275-5
MN
367500000X
Certified Registered Nurse Anesthetist
100390
MN
Other
Enumeration date
11/26/2013
Last updated
01/11/2014
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