Individual ProviderTanya LiukonenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address345 Smith Ave N, Saint Paul, MN 55102-2346(651) 220-6210PECOS EnrollmentBased on the most recent information from CMS, provider Tanya Liukonen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1366161424Provider TypeIndividualFull NameLiukonen, TanyaCredentialDNP, NNPGenderFemaleSole ProprietorNoEnumeration Date8/23/2022Last Updated8/23/2022Contact InformationPractice LocationPractice Address345 Smith Ave N, Saint Paul, MN 55102-2346Phone(651) 220-6210FaxUnlisted FaxMailing LocationMailing Address345 Smith Ave N, Saint Paul, MN 55102-2346PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LN0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense104407421Minnesota