Individual provider · Type 1 NPI

Carlye Tristin Tomczyk, PNP

Pediatric Nurse Practitioner · Minneapolis, MN

NPI number 1306048574 Active

Practice location

2512 S 7th St
Minneapolis, MN 55454-1404

Call (612) 365-6777 Map

Fax (612) 365-8001

Mailing address

10950 Utah Ave N
Champlin, MN 55316-3745

Specialties and licenses

Taxonomy	Code	License
Pediatric Nurse Practitioner Primary	363LP0200X	R1581379 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1306048574

Carlye Tristin Tomczyk, PNP's National Provider Identifier is 1306048574, issued on Jun 1, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 13, 2017.