Individual
TALA MARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(855) 209-9615
Mailing address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1103757-30
WI
363LF0000X
Family Nurse Practitioner
Primary
16414-33
WI
Other
Enumeration date
01/28/2025
Last updated
02/02/2025
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