Individual
MARIE TAMANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
(414) 727-6329
Mailing address
711 W CAPITOL DR, MILWAUKEE, WI 53206-3328
(414) 727-6320
(414) 727-6329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6957
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6957-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6957-33
STATE LICENSE
WI
Enumeration date
06/14/2016
Last updated
01/10/2019
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