Individual provider · Type 1 NPI
Pius Awandem Tanyifor
Psychiatric/Mental Health Nurse Practitioner · St. Paul, MN
NPI number
1679296248
Active
Practice location
2115 County Road D E Ste 100
St. Paul, MN 55109-5353
Fax (612) 293-6742
Mailing address
7722 Mackenzie Ave NE
Otsego, MN 55330-5031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9538 (MN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679296248
Pius Awandem Tanyifor's National Provider Identifier is 1679296248, issued on Sep 20, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Paul, MN. The record was last updated on Sep 20, 2022.