Individual provider · Type 1 NPI

Tasha Kiberenge, PA

Medical Physician Assistant · Minneapolis, MN

NPI number 1669840757 Active

Practice location

909 Fulton St SE
Minneapolis, MN 55455-4800

Call (612) 672-7422 Map

Mailing address

3244 Humboldt Ave S
Minneapolis, MN 55408-3328

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X12085 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1669840757

Tasha Kiberenge, PA's National Provider Identifier is 1669840757, issued on Sep 8, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Minneapolis, MN. The record was last updated on Feb 24, 2022.