Abby Gail Tedford | Minnetonka, MN • PECOS Search

Abby Gail Tedford

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

(256) 349-1515 (256) 383-5692

PECOS Enrollment

Based on the most recent information from CMS, provider Abby Gail Tedford does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1023443397
Provider Type
Individual
Full Name
Tedford, Abby Gail
Credential
CRNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/5/2013
Last Updated
6/26/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

Unlisted Fax

Mailing Location

245 Chess Ln, Tuscumbia, AL 35674-8513

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1-086099 Alabama