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

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL0404295 (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

Other licensed practical nurse providers in Maplewood

See all in Maplewood →

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.