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Individual
PAMELA L TENNANT
Active
Individual
PAMELA L TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2211
WI
367A00000X
Advanced Practice Midwife
Primary
85350
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38253900
—
WI
Enumeration date
06/16/2005
Last updated
03/24/2015
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