IndividualActive
Stacey Tysver- Nelson, PHARMD
NPI 1912237363 · Pharmacist · Cass Lake, MN
Stacey Tysver- Nelson, PHARMD is a Pharmacist provider in Cass Lake, MN (NPI 1912237363).
Provider details
- NPI number
- 1912237363
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 119695 (MN)
Practice location
425 7th St Nw
Cass Lake, MN 56633-3360
Phone: (218) 335-3267
Street-level locationGet directions
Mailing address
425 7th St Nw
Cass Lake, MN 56633-3360
Registry dates
- Enumerated
- 2010-01-07
- Last updated
- 2016-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.