Individual
TIFFANY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101-2507
(651) 290-8707
Mailing address
9884 TROY LN N, MAPLE GROVE, MN 55311-1616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1605695
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
557
MN
Other
Enumeration date
10/29/2021
Last updated
11/10/2025
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