Individual
TAMMY MYHRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 N LEONA ST, APPLETON, WI 54911-4232
(920) 730-1028
Mailing address
1308 N LEONA ST, APPLETON, WI 54911-4232
(920) 730-1028
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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