Individual
MANDY M TAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
84 EVELINE ST, OSHKOSH, WI 54901-5428
(920) 420-0610
Mailing address
84 EVELINE ST, OSHKOSH, WI 54901-5428
(920) 420-0610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1115526
WI
164W00000X
Licensed Practical Nurse
31489
WI
Other
Enumeration date
01/26/2024
Last updated
07/01/2025
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