Individual
TARA A. PATRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
5409 VERN HOLMES DR, STEVENS POINT, WI 54481-8853
(715) 344-1600
Mailing address
PO BOX 8004, WAUSAU, WI 54402-8004
(715) 847-2304
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3440
WI
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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