Individual
TAMMI ANN MONFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 672-3801
Mailing address
8220 S PRESERVE WAY, FRANKLIN, WI 53132-7102
(414) 807-5182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
132214-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
132214-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132214-30
—
WI
Enumeration date
04/30/2019
Last updated
04/30/2019
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