CARLYE TRISTIN TOMCZYK PNP NPI 1306048574

NPI Information

  • NPI: 1306048574
  • Provider Name: CARLYE TRISTIN TOMCZYK, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2512 S 7TH ST
    MINNEAPOLIS, MN
    ZIP 55454
  • Phone: (612) 365-6777

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NPI Details

Carlye Tristin Tomczyk, PNP is a pediatrics nurse practitioner in Minneapolis, MN. Carlye Tristin Tomczyk, PNP NPI is 1306048574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2512 S 7TH ST
MINNEAPOLIS, MN
ZIP 55454-404
Phone: (612) 365-6777
Fax: (612) 365-8001

The NPI 1306048574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 10/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsR1581379MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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