Search › Minnesota › 363A00000X
Tiffany Hall, PA-C
NPI 1205012424 · on the registry since 2008
Practice
- Address
- 1500 109th Ave Ne
Blaine, MN 55449 - Phone
- (763) 421-5011
- Organisation at this address
- Grand St Paul Cvs Llc
Luxottica Of America IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 1500 109th Ave Ne, Blaine, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-01-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota