Individual
KRISTA ANN TAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 SHERIDAN RD, KENOSHA, WI 53143-6506
(262) 605-6721
Mailing address
8600 SHERIDAN RD, KENOSHA, WI 53143-6506
(262) 605-6721
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10070-33
WI
Other
Enumeration date
05/15/2020
Last updated
10/10/2023
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