Individual provider · Type 1 NPI
Pamela Marie Tietz, CNP
Family Nurse Practitioner · Rochester, MN
NPI number
1619032158
Active
Practice location
200 1st St SW
Rochester, MN 55905-0001
Mailing address
618 Rolling Meadows Ln SE
New Prague, MN 56071-4022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R 109339-1 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1619032158
Pamela Marie Tietz, CNP's National Provider Identifier is 1619032158, issued on Dec 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rochester, MN. The record was last updated on Jan 7, 2021.