Healthcare Provider Details

I. General information

NPI: 1154250819
Provider Name (Legal Business Name): TIFFANY OSLIN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5366 386TH ST NE
NORTH BRANCH MN
55056-5833
US

IV. Provider business mailing address

23556 QUAY ST NW
SAINT FRANCIS MN
55070-9104
US

V. Phone/Fax

Practice location:
  • Phone: 651-674-4570
  • Fax:
Mailing address:
  • Phone: 763-226-4023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2374954
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: