Individual
MRS. TANYA M. HOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6226 14TH AVE, KENOSHA, WI 53143-4413
(262) 656-0044
Mailing address
625 57TH ST, SUITE 700, KENOSHA, WI 53140-4146
(262) 764-3622
(262) 925-1017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
150991-30
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
3686-33
WI
Other
Enumeration date
02/03/2009
Last updated
05/12/2015
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