Provider Demographics
NPI:1477702645
Name:NETLAND, TAWNIA ANN (APRN CNP)
Entity Type:Individual
Prefix:MRS
First Name:TAWNIA
Middle Name:ANN
Last Name:NETLAND
Suffix:
Gender:F
Credentials:APRN CNP
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Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-6585
Mailing Address - Fax:605-312-9802
Practice Address - Street 1:410 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MAHNOMEN
Practice Address - State:MN
Practice Address - Zip Code:56557-4732
Practice Address - Country:US
Practice Address - Phone:218-935-2514
Practice Address - Fax:218-935-2720
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2024-01-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN6263363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily