Individual provider · NPI-1

Tiffany Brannan

Nurse Practitioner, Family · Bemidji, MN

NPI number1447835285
StatusActive
Last updated in NPPESMay 8, 2024

Details

NPI
1447835285
Entity type
Individual (NPI-1)
Name
Tiffany Brannan
Sex
Female
Sole proprietor
No
Enumeration date
Mar 12, 2021
Certification date
May 8, 2024
Last updated
May 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family7968MNYes

Practice location

119 Paul Bunyan Dr Nw
Ste A, Pmb 1008
Bemidji, MN 56601

Phone 218-203-5449

Mailing address

119 Paul Bunyan Dr Nw
Ste A, Pmb 1008
Bemidji, MN 56601

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