Individual
TANYA LYNN MALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
820 ARBUTUS AVE, OCONTO, WI 54153-2004
(920) 834-8833
(920) 834-8830
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11134-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020131682
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
01/15/2015
Last updated
08/12/2022
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