Individual
MS. LUANNE E TANGEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, MS
Contact information
Practice address
725 RODEL CV, LAKE MARY, FL 32746-4859
(407) 302-3133
(407) 330-4690
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
(407) 262-5710
(407) 262-5796
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP 9312546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003253800
—
FL
01
—
36450
BCBS OF MT
MT
Enumeration date
08/16/2006
Last updated
07/09/2012
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