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Individual

TAMMY TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6737 W WASHINGTON ST, SUITE 1111, MILWAUKEE, WI 53214-5647
(414) 302-9175
Mailing address
6737 W WASHINGTON ST, SUITE 1111, MILWAUKEE, WI 53214-5647

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
139416030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38270700
WI
Enumeration date
12/12/2006
Last updated
01/07/2013
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