Individual
TANYA MAE SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8824-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F07181348
AMERICAN ACADEMY OF NURSE PRATITIONERS
—
Enumeration date
10/31/2018
Last updated
01/29/2024
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