Individual
TANYA FRESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
417 FRANKLIN ST S, GLENWOOD, MN 56334-1518
(320) 634-5157
(320) 634-2244
Mailing address
10 4TH AVE SE, GLENWOOD, MN 56334-1820
(866) 667-4747
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP4748
MN
363LF0000X
Family Nurse Practitioner
Primary
CNP4748
MN
Other
Enumeration date
08/19/2016
Last updated
05/22/2018
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