Tu, Misty

Tu, Misty is an individual health care provider with primary practice located at 480 Osborne Rd Ne Ste 260 , Fridley MN 55432-2866. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Tu, Misty can be contacted via phone (763) 236-3800.

Contact Information

Primary practice address
480 Osborne Rd Ne Ste 260 Fridley MN 55432-2866
Phone: (763) 236-3800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X M3409 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 40715 Arizona

Profile Details

NPI number 1396857975
LBN Legal business name Tu, Misty
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 21st, 2022 - about 2 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 1396857975 NPPES
Arizona MEDICAID 351614

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