Basic Information
| Provider Information | |||||||||
| NPI: | 1780194654 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LUDWIGS | ||||||||
| FirstName: | FAITH | ||||||||
| MiddleName: | IVANA | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1400 MADISON AVE STE 400A | ||||||||
| Address2: | |||||||||
| City: | MANKATO | ||||||||
| State: | MN | ||||||||
| PostalCode: | 560016805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5073898538 | ||||||||
| FaxNumber: | 5076253928 | ||||||||
| Practice Location | |||||||||
| Address1: | 1400 MADISON AVE STE 400A | ||||||||
| Address2: | |||||||||
| City: | MANKATO | ||||||||
| State: | MN | ||||||||
| PostalCode: | 560016805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5073898538 | ||||||||
| FaxNumber: | 5076253928 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2017 | ||||||||
| LastUpdateDate: | 12/22/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 8395 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.