Individual
JOANN R. TART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3925 N GATEWAY DR, APPLETON, WI 54913-7863
(920) 454-8401
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R35611
NM
163WX0200X
Oncology Registered Nurse
R35611
NM
363L00000X
Nurse Practitioner
2161
WI
363L00000X
Nurse Practitioner
A004325
AR
363L00000X
Nurse Practitioner
AP2984
AZ
363LF0000X
Family Nurse Practitioner
Primary
2161
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319858
—
AZ
05
—
67509860
—
NM
Enumeration date
07/08/2006
Last updated
10/02/2023
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