Individual
TAMYRA N TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1452 N 7TH ST FL 2, MILWAUKEE, WI 53205
(414) 935-8000
(414) 287-0907
Mailing address
PO BOX 80257, MILWAUKEE, WI 53208-8004
(414) 935-8000
(414) 344-3396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023-023
WI
363AM0700X
Medical Physician Assistant
2023-023
WI
Other
Enumeration date
08/10/2006
Last updated
05/15/2020
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