Weideman, Tanya Lynn

Weideman, Tanya Lynn is an sole proprietor health care provider with primary practice located at 101 N Main St , River Falls WI 54022-2359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Weideman, Tanya Lynn can be contacted via phone (715) 821-6732.

Contact Information

Primary practice address
101 N Main St River Falls WI 54022-2359
Phone: (715) 821-6732
Fax: (715) 997-8697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1509033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11485 Minnesota

Profile Details

NPI number 1275004897
LBN Legal business name Weideman, Tanya Lynn
Credentials APRN, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2018
Last updated Jul 1st, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275004897 NPPES
Wisconsin MEDICAID 100270816

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