Nanthaya Tisavipat, MD
Psychiatry & Neurology, Neurology in Rochester, MN. Individual provider (NPI-1).
NPI number1871353045
StatusActive
Last updated in NPPESAug 30, 2025
Details
- NPI
- 1871353045
- Entity type
- Individual (NPI-1)
- Name
- Nanthaya Tisavipat
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2024
- Certification date
- Aug 30, 2025
- Last updated
- Aug 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 80308 | MN | Yes |
| 207R00000X | Internal Medicine | 34372 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
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