TIFFANY RAE KREBSBACH


Address: 6500 Excelsior Blvd, St Louis Park, MN 55426-4702
Phone: 9529933246

TIFFANY RAE KREBSBACH (NPI# 1023552924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023552924
Entity Type Individual
Full Name TIFFANY RAE KREBSBACH
Practice Address 6500 Excelsior Blvd
St Louis Park
MN 55426-4702
Practice Telephone 9529933246
Mailing Telephone 9529933246
Enumeration Date 2016-12-12
Last Update Date 2016-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP 4267 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6500 EXCELSIOR BLVD
City ST LOUIS PARK
State MN
Zip Code 55426-4702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861484669 Robert E Haselow Radiology 6500 Excelsior Blvd, Methodist Radiation Therapy, St Louis Park, MN 55426-4702 2005-08-17
1215549381 Katelyn Boys Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-08-20
1386253466 Christine Harlander Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2020-07-24
1063021210 Ian-thomas Campbell-groen Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2020-07-23
1619585387 Kelly Faber Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-07-20
1952938821 Paige Rygg Physical Therapist 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-03-23
1801427406 Brandi Jo St. Mane Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-02-01
1811528680 Brian Servey IIi Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 2020-01-30
1245873421 Weston Poucher Nurse Anesthetist, Certified Registered 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2019-10-21
1427609973 Lauren Damrow Registered Nurse 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 2019-09-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821657545 Big Brain Concussion Recovery & Chiropractic Pa Chiropractor 3313 Republic Ave., St. Louis Park, MN 55426 2019-06-06
1912485095 Daniel Raies Optometrist 8900 Minnesota 7, St Louis Park, MN 55426 2018-08-01
1649756040 Wayside House, Inc. Clinic/Center 1349 Jersey Ave S, St. Louis Park, MN 55426 2018-07-18
1104302884 Superior Caregivers, LLC In Home Supportive Care 1319 Lancaster Ave., St. Louis Park, MN 55426 2018-07-16
1396234266 Caitlin Kwiatkowski Behavior Technician 7010 Mn-7, St.louis Park, MN 55426 2018-05-07
1497244313 Kelly Ann Clancey Behavior Technician 7010 Highway 2, Saint Louis Park, MN 55426 2018-05-07
1770072696 Ashleigh Hakala Behavior Technician 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 2018-05-07
1689181521 Glenda Miles Registered Nurse 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 2017-12-31
1174041875 Kristen Webb Physician Assistant 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 2017-09-01
1447775549 Belinda Sue Bliss Marriage & Family Therapist 3301 Decatur Lane, Saint Louis Park, MN 55426 2017-08-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124636063 Kellie Lynn Leblanc Nurse Practitioner 3151 Hillsboro Ave S, St Louis Park, MN 55426-2930 2020-07-16
1861471666 Jennifer L Mears Nurse Practitioner 5525 Cedar Lake Rd S, St Louis Park, MN 55416-1420 2006-01-11
1467440784 Leann Clarksean Nurse Practitioner 5320 W 23rd St Ste 130, St Louis Park, MN 55416-1670 2005-10-11
1447259395 Ann Kolar Chinnakotla Nurse Practitioner 3900 Park Nicollet Blvd, 3rd Floor Urology, St Louis Park, MN 55416-2503 2005-07-21
1629611033 Johanna Clara Ayers Nurse Practitioner 4656 Excelsior Blvd, St Louis Park, MN 55416-4938 2019-10-18
1790290195 Kathryn Caye Mcgovern Nurse Practitioner 4656 Excelsior Blvd, St Louis Park, MN 55416-4938 2017-12-06
1912422718 Kathleen Therese Guinee Holman Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2017-08-14
1619497476 Laura I. Lenz Nurse Practitioner 3850 Park Nicollet Blvd, St Louis Park, MN 55416 2017-06-22
1871013037 Lorraine Marie Richards Nurse Practitioner 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2017-06-20
1568848331 Shannon Lee Hoversten Nurse Practitioner 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 2015-08-04
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Competitor

Search similar providers

City ST LOUIS PARK
Zip Code 55426

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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