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Individual

MS. MICHELLE A TENAGLIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNM,ANP

Contact information

Practice address
131 PROVIDENCE RD, CHARLOTTE, NC 28207-1206
(704) 750-5535
(888) 335-2054
Mailing address
254 BAMBOO CREEK LN, MARS HILL, NC 28754-6109
(828) 206-2935

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2000840579
OR
367A00000X
Advanced Practice Midwife
Primary
531
NC
367A00000X
Advanced Practice Midwife
731432
TX

Other

Enumeration date
09/24/2009
Last updated
04/06/2016
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