Tigist Tadesse Fiyisa, | |
5650 Upper 179th St W # Na, Lakeville, MN 55044-4930 | |
(651) 235-8272 | |
Not Available |
Full Name | Tigist Tadesse Fiyisa |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 5650 Upper 179th St W # Na, Lakeville, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477217800 | NPI | - | NPPES |
2475789 | Other | MN | REGISTERED NURSE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2475789 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tigist Tadesse Fiyisa, 5650 Upper 179th St W # Na, Lakeville, MN 55044-4930 Ph: (651) 235-8272 | Tigist Tadesse Fiyisa, 5650 Upper 179th St W # Na, Lakeville, MN 55044-4930 Ph: (651) 235-8272 |
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