Individual
TARRA LYNN MORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-C
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-8067
(715) 735-8077
Mailing address
1035 KEPLER DR, GREEN BAY, WI 54311-8320
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
9705-33
WI
363L00000X
Nurse Practitioner
Primary
9705-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098853
—
WI
Enumeration date
03/10/2020
Last updated
04/10/2026
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