Individual
TARA HERRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
JUNEAU CO DEPT OF HUMAN SERVICES, 200 HICKORY STREET, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599
Mailing address
JUNEAU CO DEPT OF HUMAN SERVICES, 200 HICKORY STREET, MAUSTON, WI 53948-2101
(608) 847-2400
(608) 847-9599
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
160105-30
WI
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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