Organization
HEARTFELT MIDWIFERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA ELISE MUDRICK C.P.M., L.T.M., L.M. (CHIEF MANAGER)
(507) 474-0233
Entity
Organization
Contact information
Practice address
50 W 2ND ST, ROOM 108, WINONA, MN 55987-3440
(507) 474-0233
Mailing address
50 W 2ND ST, ROOM 108, WINONA, MN 55987-3440
(507) 474-0233
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1016
MN
Other
Enumeration date
02/21/2007
Last updated
11/28/2007
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