Tiffany Hommes FNP

NPI 1942216668 - Registered Nurse - 163W00000X

NPI Details
NPI 1942216668
Gender Female
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
24760 HOSPITAL DR
RED LAKE MN, 56671, US
Phone (218) 679-3316
Fax
Business Location
11795 E MOVIL LAKE RD NE
BEMIDJI MN, 56601-8116, US
Phone (218) 444-6197
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Minnesota
License Number R 141209-5
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According to our database, Tiffany Hommes FNP NPI is 1942216668, taxonomy code is 163W00000X and license number is R 141209-5, license state is located at Minnesota. Tiffany Hommes FNP physically located at 24760 Hospital Dr, Red Lake MN, 56671. NPI Number Tiffany Hommes FNP has the Individual type.

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1942216668 NPI number is provided on an as is basis without warranty of any kind. 1942216668 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Hommes FNP are for informational purposes only.