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Avery Tucker

NPI 1811457914 · on the registry since 2019 · sole proprietor

Practice

Address
2155 Ford Pkwy Ste A
Saint Paul, MN 55116
Phone
(651) 696-5000
Clinicians at this address
24

Additional practice sites

  • 2020 E 28th St Ste 104, Minneapolis, MN

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota