Katlyn Tennyson

NPI 1538721022 · on the registry since 2019

Practice

Address: 7001 E Fish Lake Rd
Maple Grove, MN 55311
Phone: (508) 768-8008
Organisation at this address: Hazelden Betty Ford Foundation
Recovery Partners, Pc At Maple Grove
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 103K00000X
103K00000X
Also registered as: 103K00000X
106S00000X
Licence states on file: MA, MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-10-24

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