Individual
STEPHANIE LYN TAVS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
342 N WATER ST STE 600, MILWAUKEE, WI 53202-5715
(651) 342-1039
(651) 342-1428
Mailing address
270 MAIN ST N STE 300, STILLWATER, MN 55082-6788
(651) 342-1039
(651) 342-1428
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5352-33
WI
Other
Enumeration date
07/15/2013
Last updated
05/04/2026
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