Individual
MRS. TAMMY L DEGENHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 53051-3714
(262) 253-5056
Mailing address
N83W15550 APPLETON AVE, MENOMONEE FALLS, WI 53051-3714
(262) 253-5056
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
99873-30
WI
Other
Enumeration date
03/07/2011
Last updated
11/21/2019
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