Individual
TARA LEE ALBRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
926 W EULA CT, GLENDALE, WI 53209-6506
(414) 840-2007
Mailing address
926 W EULA CT, GLENDALE, WI 53209-6506
(414) 840-2007
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
158134-030
WI
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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