TIFFANY JOY EBLEN

FARGO, ND
NPI1174981831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R28198)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  1884)
Enumeration Date2016-02-09
Last Update Date2023-10-12
Business Address
Mrs. TIFFANY JOY EBLEN CRNA
801 BROADWAY N
FARGO, ND 58102-3641
Phone number: 701-234-2000
Mailing Address
Mrs. TIFFANY JOY EBLEN CRNA
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number:
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