Individual
TAMELA ANN KLOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19333 W NORTH AVE, BROOKFIELD, WI 53045-4132
(262) 785-3093
Mailing address
N53W16561 WHITETAIL RUN, MENOMONEE FALLS, WI 53051-0648
(262) 783-6232
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
98075-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K400368665
UNITED HOSPITAL SYSTEM, INC. - MEDICARE
WI
Enumeration date
10/30/2008
Last updated
03/16/2017
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