| Tiffany Phu, | |
| 
					9055 Springbrook Dr., Coon Rapids, MN 55433  | |
| (763) 780-9155 | |
| Not Available | 
| Full Name | Tiffany Phu | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 9055 Springbrook Dr., Coon Rapids, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1518659275 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 2277682 (Minnesota) | Secondary | 
| 363L00000X | Nurse Practitioner | 10458 (Minnesota) | Primary | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tiffany Phu, 2925 Chicago Avenue, Minneapolis, MN 55407-1321 Ph: (612) 262-5000  | Tiffany Phu, 9055 Springbrook Dr., Coon Rapids, MN 55433 Ph: (763) 780-9155  | 
Kamrie Ann Parrott, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11850 Blackfoot St Nw, Ste 130, Coon Rapids, MN 55433 Phone: 763-236-2045  | |
Dr. Diane Elizabeth Hickey, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155  | |
Dr. Judith Onduso, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8410  | |
Rachel Margaret Bethke, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4040 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-427-9980  | |
Miranda K Lutterman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350  | |
Joanne M Hynes, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155  | |
Suzanne L Schinzel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Coon Rapids, MN 55433 Phone: 763-712-6000 Fax: 763-754-4614  |