Mudrick, Tanya Elise

Mudrick, Tanya Elise is an individual health care provider with primary practice located at 50 W 2Nd St Room 108, Winona MN 55987-3440. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Mudrick, Tanya Elise can be contacted via phone (507) 474-0233.

Contact Information

Primary practice address
50 W 2Nd St Room 108 Winona MN 55987-3440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 1016 Minnesota
Other Service Providers / Midwife 176B00000X 15-049 Wisconsin

Profile Details

NPI number 1306981725
LBN Legal business name Mudrick, Tanya Elise
Credentials C.P.M., L.T.M., L.M.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Nov 28th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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