Individual
TIFFANY AMBER PICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
4110 51ST AVE S, FARGO, ND 58104-7776
(701) 364-3100
Mailing address
523 NORTH 3RD STREET, BRAINERD, MN 56401-3054
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
38149
ND
Other
Enumeration date
11/26/2018
Last updated
11/09/2020
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