Individual
TARA J PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3677
(414) 649-1292
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9646-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097144
—
WI
Enumeration date
02/03/2020
Last updated
02/11/2026
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