Individual
MRS. TAWNEY R MAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127-7135
(651) 986-5201
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8317
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8317
BON
MN
01
—
F06211652
AANP
MN
Enumeration date
08/27/2021
Last updated
09/09/2021
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