Flaten, Tiffany

Flaten, Tiffany is an individual health care provider with primary practice located at 9201 Quaday Ave Ne Ste 205 , Otsego MN 55330-6604. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Flaten, Tiffany can be contacted via phone (763) 703-6962.

Contact Information

Primary practice address
9201 Quaday Ave Ne Ste 205 Otsego MN 55330-6604
Phone: (763) 703-6962
Fax: (651) 222-9727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X

Profile Details

NPI number 1871909242
LBN Legal business name Flaten, Tiffany
Credentials M.S., LN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2014
Last updated Sep 12th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871909242 NPPES
Minnesota MEDICAID 1871909242

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