| Tiffany Watson, CNP | |
|
12217 Champlin Dr, Champlin, MN 55316-1930 | |
| (763) 323-1492 | |
| Not Available |
| Full Name | Tiffany Watson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 12217 Champlin Dr, Champlin, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578007571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 186206-9 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4912 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Health Care Clinic Pc | 4183638885 | 6 |
| Entity Name | Team Health Care Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457458689 PECOS PAC ID: 4183638885 Enrollment ID: O20060202000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Watson, CNP 12217 Champlin Dr, Champlin, MN 55316-1930 Ph: (763) 323-1492 | Tiffany Watson, CNP 12217 Champlin Dr, Champlin, MN 55316-1930 Ph: (763) 323-1492 |
Mrs. Olitha Jamesetta Fofana, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10911 Rhode Island Cir N, Champlin, MN 55316 Phone: 763-493-2947 | |
Ellen Hanson, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-236-0790 | |
Prince Nde Aloh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 | |
Holly M Jensrud, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-0790 | |
Renee Sara Leisen Fisher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Stone Hamabwe Kabwe, CNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12142 Business Park Blvd N, Champlin, MN 55316 Phone: 952-977-0500 | |
Elissa Gemphel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10920 River Pines Dr N, Champlin, MN 55316 Phone: 917-584-3834 |