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Tyanna Ingram
NPI 1528684008 · on the registry since 2020
Practice
- Address
- 6900 78th Ave N
Brooklyn Park, MN 55445 - Phone
- (218) 391-3215
- Clinicians at this address
- 34
Additional practice sites
- 103 N 5th St, Leesville, LA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 171M00000X
- Sex
- Female
- Record last updated
- 2021-02-01
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