Individual
TAMARA SUZANNE ZUPANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 252-8233
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 252-8233
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13521-33
WI
363LF0000X
Family Nurse Practitioner
Primary
13521-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881300580
—
WI
Enumeration date
01/25/2023
Last updated
04/11/2023
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