| NPI | 1275004897 |
|---|---|
| Former Name | TANYA SEIDLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1509033) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11485) |
| 163W00000X Registered Nurse (Licence: MN 2108214) | |
| 163WH0200X Registered Nurse, Home Health (Licence: WI 0193509) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1509033) | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2025-03-04 |