Tigist Tadesse Fiyisa

NPI #1477217800 in Lakeville, Minnesota

Provider Information

NPI Number: 1477217800
Entity Type: Individual
Name: Tigist Tadesse Fiyisa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Oct 21, 2021
Last Updated: Oct 21, 2021

Practice Location

Address: 5650 UPPER 179TH ST W # NA
City: Lakeville
State: Minnesota
ZIP Code: 55044-4930
Phone: (651) 235-8272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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