Individual
TAMIKA COUNTS LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(478) 538-0908
Mailing address
PO BOX 1959, MINNEAPOLIS, MN 55440-1459
(478) 538-0908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
250344
NC
363LF0000X
Family Nurse Practitioner
RN 189221
GA
Other
Enumeration date
05/20/2011
Last updated
07/10/2020
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