Individual
ALAINA MICHELLE TANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP APNP
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 830-6877
Mailing address
3559 CREEKVIEW RD, DE PERE, WI 54115-7823
(920) 939-4512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1443333
WI
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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