Tiffany Alicia Axtman

NPI #1699397042 in Bemidji, Minnesota

Provider Information

NPI Number
1699397042
Entity Type
Individual
Name
Tiffany Alicia Axtman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
May 8, 2020
Last Updated
Aug 9, 2022

Practice Location

Address
1611 ANNE ST NW
ZIP Code
56601-5114
Phone
(218) 333-5000

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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