Pamela L Tennant CNM

NPI 1003811902 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003811902
Gender Female
Enumeration Date 06/16/2005
Last Updated 03/24/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1836 SOUTH AVE
LA CROSSE WI, 54601-5429, US
Phone (608) 782-7300
Fax
Business Location
1836 SOUTH AVE
LA CROSSE WI, 54601-5429, US
Phone (608) 782-7300
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 2211
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According to our database, Pamela L Tennant CNM NPI is 1003811902, taxonomy code is 363L00000X and license number is 2211, license state is located at Wisconsin. Pamela L Tennant CNM physically located at 1836 South Ave, La Crosse WI, 54601-5429. NPI Number Pamela L Tennant CNM has the Individual type.

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1003811902 NPI number is provided on an as is basis without warranty of any kind. 1003811902 is maintained by the National Plan & Provider Enumeration System. The contents of Pamela L Tennant CNM are for informational purposes only.