| Tanya C Muller, | |
|
6490 Excelsior Blvd, Suite E111, St Louis Park, MN 55426-4705 | |
| (952) 993-3528 | |
| Not Available |
| Full Name | Tanya C Muller |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 6490 Excelsior Blvd, St Louis Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891733440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 11275 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | R-155072-4 (Minnesota) | Secondary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya C Muller, 6465 Wayzata Blvd, Suite 315, St Louis Park, MN 55426-1728 Ph: () - | Tanya C Muller, 6490 Excelsior Blvd, Suite E111, St Louis Park, MN 55426-4705 Ph: (952) 993-3528 |
Susanna Goldstein, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Katelyn Neufeld, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Sarah Hallman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Karen Margaret Sonnenburg, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-933-3282 | |
Brianna Jean Conklin, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Ms. Amy F Brandl, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, Hvc- 5th Floor, St Louis Park, MN 55426 Phone: 952-993-3282 Fax: 952-993-1361 | |
Diane Feller, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 |