Search › Wisconsin › 124Q00000X
Tanya Larsen, RDH
NPI 1386050052 · on the registry since 2014
Practice
- Address
- 6722 Green Ridge Dr
Mount Pleasant, WI 53406 - Phone
- (262) 989-8949
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin