Kay L Tyberg is a Gerontology in Minneapolis, Minnesota. Kay L Tyberg practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Kay L Tyberg is 1942247861. The last update date is 2012-11-02.
Kay L Tyberg's current location address is 701 Park Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128734105 and fax number 6129044644. The mailing address for Kay L Tyberg is 701 Park Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kay L Tyberg |
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Address | 701 Park Ave, Minneapolis, Minnesota |
Phone Number | 6128734105 |
Fax Number | 6129044644 |
Sole Proprietor | N |
Credentials | GNP |
NPI Number Detail
NPI Number | 1942247861 |
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Provider Enumeration Date | 2006-05-31 |
Last Updated Date | 2012-11-02 |
Provider Mailing Address Detail
Address | 701 Park Ave |
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City | Minneapolis |
State | Minnesota (MN) |
Post Code | 554151623 |
Phone Number | 6128734105 |
Fax Number | 6129044644 |
Provider's Primary Taxonomy Detail
Speciality | Gerontology |
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Taxonomy | 363Lg0600X |
Licence No | 2006001671 |
Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
025N3TY | MN | BLUE CROSS BLUE SHIELD | |
04-08776 | MN | MEDICA | |
575324400 | MN | -- |
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What is the unique identifier code issued to Kay L Tyberg by the Centers for Medicare & Medicaid Services?
The Kay L Tyberg has been assigned the NPI (National Provider Identifier) 1942247861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kay L Tyberg?
The Kay L Tyberg is situated at 701 Park Ave, in the city of Minneapolis, state of MN, with the zip code 554151623.
What is Kay L Tyberg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kay L Tyberg's specialized field of practice is Gerontology, and the corresponding taxonomy code that categorizes this area of specialization is 363Lg0600X.
When was the Kay L Tyberg's 1942247861 issued?
The Kay L Tyberg's 1942247861 was issued on 2006-05-31.
When was the information regarding Kay L Tyberg most recently updated?
The details pertaining to the Kay L Tyberg, including its address, specialty, and other relevant information, were last refreshed on 2012-11-02.