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Individual
TANYA LYNN WEIDEMAN
Active
Individual
TANYA LYNN WEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2108214
MN
163WH0200X
Home Health Registered Nurse
0193509
WI
2084P0800X
Psychiatry Physician
1509033
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11485
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1509033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270816
—
WI
Enumeration date
12/07/2018
Last updated
07/01/2026
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