MRS. TARA LYN WITCZAK APN-BC NPI 1710252408

NPI Information

NPI: 1710252408
Provider Name: MRS. TARA LYN WITCZAK, APN-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1555 N RIVERCENTER DR
SUITE #206
MILWAUKEE, WI
ZIP 53212
Phone: (414) 272-5623
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MRS. Tara Lyn Witczak, APN-BC is an adult health nurse practitioner in Milwaukee, WI. MRS. Tara Lyn Witczak, APN-BC NPI is 1710252408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1555 N RIVERCENTER DR
SUITE #206
MILWAUKEE, WI
ZIP 53212-981
Phone: (414) 272-5623
Fax: (414) 272-5617

The NPI 1710252408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2012 and was last updated on 3/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	4766-33	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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