Tillman, Laura

Tillman, Laura is an individual health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Tillman, Laura can be contacted via phone (651) 578-5631.

Contact Information

Primary practice address
200 University Ave E Saint Paul MN 55101-2507
Phone: (651) 578-5631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R 190665-3 Minnesota

Profile Details

NPI number 1427475706
LBN Legal business name Tillman, Laura
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Oct 16th, 2014 - about 11 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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