Individual
TANYA MUDGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
18606 ERVIN ST, WHITEHALL, WI 54773-8613
(715) 538-4355
Mailing address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-1712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7921
WI
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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