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

Tina Perry

Individual provider Licensed Practical Nurse · NPI 1073453205

Tina Perry is a Licensed Practical Nurse in Maplewood, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2026

Practice location Address checks out

3100 Kennard St Ste 100
Maplewood, MN 55109-5466
Phone: (651) 225-5420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence L0404295 (MN)

Record details

NPI number1073453205
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address10735 Sharons Way, Chisago City, MN 55013-9468

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