Individual provider · Type 1 NPI
Tina Perry
Licensed Practical Nurse · Maplewood, MN
NPI number
1073453205
Active
Practice location
3100 Kennard St Ste 100
Maplewood, MN 55109-5466
Mailing address
10735 Sharons Way
Chisago City, MN 55013-9468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | L0404295 (MN) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5 other providers at this address
- Minneapolis VamcVA Clinic/Center Maplewood, MN NPI 1659328292
- Jettie Mae Ndumbe I, LPNLicensed Practical Nurse Maplewood, MN NPI 1225977028
- Julia Buteyn, PharmDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Maplewood, MN NPI 1285217836
- Khristopher Michael Grant, PA-CPhysician Assistant Maplewood, MN NPI 1194255224
- Samir N. Salama, MDInternal Medicine Physician Maplewood, MN NPI 1255390498
Other licensed practical nurse providers in Maplewood
- Karin E. DetienneLicensed Practical Nurse Maplewood, MN NPI 1053269951
- Alyssa Rae Williams, LPNLicensed Practical Nurse Maplewood, MN NPI 1073465118
- Havona MooreLicensed Practical Nurse Maplewood, MN NPI 1174475040
- Angela Roeser, LPNLicensed Practical Nurse Maplewood, MN NPI 1205788486
- Jettie Mae Ndumbe I, LPNLicensed Practical Nurse Maplewood, MN NPI 1225977028
- Morgan McKinleyLicensed Practical Nurse Maplewood, MN NPI 1295687176
About NPI 1073453205
Tina Perry's National Provider Identifier is 1073453205, issued on Mar 30, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Maplewood, MN. The record was last updated on Mar 30, 2026.