# TWELVESTONE INFUSION CENTERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TWELVESTONE INFUSION CENTERS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639091648
- **Legal business name:** TWELVESTONE INFUSION CENTERS LLC
- **Authorized official:** TARA HARRELSON (DIRECTOR)
- **Authorized official phone:** (615) 278-3278

## Contact information

- **Practice address:** 21 PARK PL STE A, APPLETON, WI 54914-8872
- **Practice address phone:** (615) 278-3278
- **Mailing address:** PO BOX 12369, MURFREESBORO, TN 37129-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/29/2026
- **Last updated:** 08/10/2026