Individual
MRS. LAUREN TAUBENSEE HAVEY TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 385-4638
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7074
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100059685
—
WI
Enumeration date
07/29/2016
Last updated
08/15/2025
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