Individual
TAMMY LYNN NEWGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11172 125TH AVE, MILACA, MN 56353-4006
(320) 420-1118
Mailing address
11172 125TH AVE, MILACA, MN 56353-4006
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
190111-1
MN
163WH1000X
Hospice Registered Nurse
190111-1
MN
Other
Enumeration date
11/13/2019
Last updated
11/27/2023
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