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NPI Code Detail

MEDICARE: BIYE TAMBANG APRN

MEDICARE: BIYE TAMBANG APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerR216268-7MN
2363LP2300XPrimary Care Nurse PractitionerR38221ND
3363LP2300XPrimary Care Nurse PractitionerCNP4734MN

General Provider Information

NPI Number : 1770037574
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIYE TAMBANG APRN
Provider Business Mailing Address
First Line : 8170 33RD AVE S # MS 21110Q
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55425-4516
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 N WILSON RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-1214
Country : US
Telephone Number : 614-702-7915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2016
Last Update Date : 06/08/2026

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Directions to “ BIYE TAMBANG APRN” Practice Location

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