Individual
MS. TANYA WOLLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, #525, MILWAUKEE, WI 53215
(414) 385-2550
(414) 649-5414
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 649-3240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
129052-030
WI
363L00000X
Nurse Practitioner
Primary
2300-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41181700
—
WI
Enumeration date
08/24/2006
Last updated
11/10/2023
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