BRENNA L TATE

WORTHINGTON, MN
NPI1164756243
Former NameBRENNA L SMALLFIELD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MN  R192172-2)
Enumeration Date2009-09-23
Last Update Date2010-01-18
Business Address
-- BRENNA L TATE CNM
1680 DIAGONAL RD
WORTHINGTON, MN 56187-1008
Phone number: 507-372-3800
Mailing Address
-- BRENNA L TATE CNM
PO BOX 5074
SIOUX FALLS, SD 57117-5074
Phone number: