Individual
TARA W BULLUCK-MCSWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
619 N 35TH ST, MILWAUKEE, WI 53208-3872
(414) 342-7442
Mailing address
619 N 35TH ST, MILWAUKEE, WI 53208-3872
(414) 342-7442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
259625-30
WI
Other
Enumeration date
11/20/2008
Last updated
01/01/2025
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