MEDICARE: TSEWANG RINZIN

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
1	163W00000X	Registered Nurse	2456416	MN

General Provider Information

NPI Number	:	1467971374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TSEWANG RINZIN

Provider Business Mailing Address
First Line	:	9224 ELLIOT AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-3852
Country	:	US
Telephone Number	:	612-999-5977
Fax Number	:

Provider Business Practice Location Address
First Line	:	9224 ELLIOT AVE S
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55420-3852
Country	:	US
Telephone Number	:	612-999-5977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2017
Last Update Date	:	09/12/2017

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Directions to “ TSEWANG RINZIN ” Practice Location

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