Brenna L Tate, CNM | |
1680 Diagonal Rd, Worthington, MN 56187-1008 | |
(507) 372-3800 | |
Not Available |
Full Name | Brenna L Tate |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1680 Diagonal Rd, Worthington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164756243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | R192172-2 (Minnesota) | Primary |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Sanford Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
Mailing Address | Practice Location Address |
---|---|
Brenna L Tate, CNM Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Brenna L Tate, CNM 1680 Diagonal Rd, Worthington, MN 56187-1008 Ph: (507) 372-3800 |
Suzanne R Sudmeier, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 508 Tenth Street, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-1815 | |
Ashley R Geraets, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1018 6th Ave, Worthington, MN 56187 Phone: 507-372-2941 | |
Katherine Elizabeth Smidt, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789 |