Whalio Doctors

NPI 1003811902

Pamela L Tennant, CNM

Practitioner Advanced Practice Midwife La Crosse, WI

Practice location

Address
1836 South Ave, La Crosse, WI 54601-5429
Phone
(608) 782-7300

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 85350 (WI)
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 2211 (WI)

Registry record

NPI
1003811902
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Jun 2005
Record last updated
24 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.