TANYA FRESKE (NPI# 1558816561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558816561 |
| Entity Type | Individual |
| Full Name | TANYA FRESKE |
| Credential | CNP |
| Practice Address |
417 Franklin St S Glenwood MN 56334-1518 |
| Mailing Address |
10 4th Ave Se Glenwood MN 56334-1820 |
| Practice Telephone | 3206345157 |
| Practice Fax Number | 3206342244 |
| Mailing Telephone | 8666674747 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | CNP4748 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP4748 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Pleasant Avenue, Brooten, MN 56316 | 3203462272 | 3203462273 |
| 707 East 7th St, Starbuck, MN 56381 | 3202392200 | 3202394505 |
| Street Address |
417 FRANKLIN ST S |
| City | GLENWOOD |
| State | MN |
| Zip Code | 56334-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649285172 | Glacial Ridge Hospital District | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1518 | 2006-07-31 |
| 1013335520 | Laura Davis Huggins | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1518 | 2014-04-01 |
| 1760614390 | Alissa Joy Redding | Podiatrist | 417 Franklin St S, Glenwood, MN 56334-1598 | 2009-08-15 |
| 1992901086 | Scott Ryan Maanum | Family Medicine | 417 Franklin St S, Glenwood, MN 56334-1598 | 2007-06-25 |
| 1699788752 | Michael Holte | Orthopaedic Surgery | 417 Franklin St S, Glenwood, MN 56334-1518 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306206446 | Glacial Ridge Hospital District | Optometrist | 16 West Minnesota Avenue, Suite 102, Glenwood, MN 56334 | 2016-03-02 |
| 1922320142 | Michael David Flaten | Marriage & Family Therapist | 100 17th Ave Nw, Suite #2 Lakeland Mental Health Center, Glenwood, MN 56334 | 2010-02-16 |
| 1427107721 | G E Maher Ltd | Dentist | 101 First Avenue Sw, Glenwood, MN 56334 | 2007-01-09 |
| 1740340256 | Jeremy Myrom | Dentist | 1616 N Franklin St, Glenwood, MN 56334 | 2006-12-12 |
| 1144380627 | Scott William Ringdahl | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2006-12-12 |
| 1487802021 | Elizabeth Ziemba Colsen | Surgery | 10 4th Ave Se, Glenwood, MN 56334 | 2008-09-08 |
| 1427210533 | David Edward Polzin | Family Medicine | 10 4th Ave Se, Glenwood, MN 56334 | 2008-06-30 |
| 1225258247 | Dental Health Services Minnewaska Pllc | Dentist | 1616 N Franklin Str, Glenwood, MN 56334 | 2007-05-01 |
| 1194968750 | Gerald Edward Maher | Dentist | 101 First Ave Sw, Glenwood, MN 56334-0174 | 2009-04-13 |
| 1548444243 | Jean Marie Mcdermott | Case Manager/Care Coordinator | 102 1st St Ne, #2, Glenwood, MN 56334-1201 | 2007-12-18 |
| Find all providers in zip 56334 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073006417 | Sophia Flynn | Nurse Practitioner | 2480 Roxbury Mills Rd Ste 10, Glenwood, MD 21738-9718 | 2018-06-11 |
| 1750757159 | Guameda Eady | Nurse Practitioner | 19310 S Halsted, Jencare Neighborhood Medical Center Glenwood, LLC, Glenwood, IL 60425 | 2015-08-19 |
| 1326504978 | Alyssa Johnson | Nurse Practitioner | 711 S Vine St, Glenwood, IA 51534-1927 | 2019-02-19 |
| 1750616348 | Amy Lynn Brandt | Nurse Practitioner | 10 4th Ave Se, Glenwood, MN 56334-1820 | 2009-10-15 |
| 1821242728 | Jenna Nicole Myrom | Nurse Practitioner | 10 4th Ave Se, Glenwood, MN 56334-1820 | 2008-11-05 |
| 1881892909 | Terena Mae Kring | Nurse Practitioner | 1203 S Locust St, Glenwood, IA 51534-1872 | 2007-07-10 |
| 1669572988 | Margie Ruth Nelson | Nurse Practitioner | 10 4th Ave Se, Glenwood, MN 56334-1820 | 2006-09-25 |
| 1871501734 | Jessica Mae Vanderhagen | Nurse Practitioner | 10 4th Ave Se, Glenwood, MN 56334-1820 | 2006-08-04 |
| 1154345759 | Elizabeth Ann Ankeny | Nurse Practitioner | 10 4th Ave Se, Glenwood, MN 56334-1820 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.