Provider Demographics
NPI:1780194654
Name:LUDWIGS, FAITH IVANA (ARNP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:IVANA
Last Name:LUDWIGS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 MADISON AVE STE 400A
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-6805
Mailing Address - Country:US
Mailing Address - Phone:507-389-8538
Mailing Address - Fax:507-625-3928
Practice Address - Street 1:1400 MADISON AVE STE 400A
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-6805
Practice Address - Country:US
Practice Address - Phone:507-389-8538
Practice Address - Fax:507-625-3928
Is Sole Proprietor?:No
Enumeration Date:2017-10-05
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8395363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily