Individual provider · Type 1 NPI

Laura Tillman, C.N.P.

Pediatric Nurse Practitioner · St. Paul, MN

NPI number 1427475706 Active

Practice location

200 University Ave E
St. Paul, MN 55101-2507

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR 190665-3 (MN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1427475706

Laura Tillman, C.N.P.'s National Provider Identifier is 1427475706, issued on Mar 25, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in St. Paul, MN. The record was last updated on Oct 16, 2014.