Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pius Awandem Tanyifor

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1679296248

Pius Awandem Tanyifor is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

2115 County Road D E Ste 100
Saint Paul, MN 55109-5353
Phone: (651) 358-7020
Fax: (612) 293-6742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9538 (MN)

Record details

NPI number1679296248
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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