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

Tiffany Phu

Individual provider Registered Nurse · NPI 1518659275

Tiffany Phu is a Nurse Practitioner in Coon Rapids, Minnesota. Qualified in 2023, 3 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

9055 Springbrook Dr
Coon Rapids, MN 55433
Phone: (763) 780-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10458 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2277682 (MN)

Record details

NPI number1518659275
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address2925 Chicago Avenue, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Coon Rapids