Individual
MRS. TANYA LYNN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1212
Mailing address
PO BOX 858, HINCKLEY, MN 55037-0858
(320) 282-0481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10058
MN
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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