Organization
TAMMY BYDLON HEALTH CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY BYDLON RN (CEO)
(612) 483-1491
Entity
Organization
Contact information
Practice address
7919 NEAL AVE N, STILLWATER, MN 55082-9379
(612) 483-1491
Mailing address
7919 NEAL AVE N, STILLWATER, MN 55082-9379
(612) 483-1491
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
R-132766-9
MN
174H00000X
Health Educator
R-132766-9
MN
251J00000X
Nursing Care Agency
Primary
R-132766-9
MN
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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