Tangedal, Luanne E

Tangedal, Luanne E is an individual health care provider with primary practice located at 725 Rodel Cv , Lake Mary FL 32746-4859. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Tangedal, Luanne E can be contacted via phone (407) 302-3133.

Contact Information

Primary practice address
725 Rodel Cv Lake Mary FL 32746-4859
Phone: (407) 302-3133
Fax: (407) 330-4690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP 9312546 Florida

Profile Details

NPI number 1619080629
LBN Legal business name Tangedal, Luanne E
Credentials CNM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 9th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619080629 NPPES
Florida MEDICAID 003253800
Florida Other 36450

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