Individual
MS. TIFFANY J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7231 SUNWOOD DR NW, RAMSEY, MN 55303-5190
(763) 236-0000
Mailing address
7231 SUNWOOD DR NW, RAMSEY, MN 55303-5190
(763) 236-0000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2148
MN
363LF0000X
Family Nurse Practitioner
Primary
2148
MN
363LF0000X
Family Nurse Practitioner
R128980-4
MN
Other
Enumeration date
08/20/2006
Last updated
11/04/2020
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