Individual
TANITA NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6815 W CAPITOL DR STE 313, MILWAUKEE, WI 53216-2056
(414) 722-9717
Mailing address
6815 W CAPITOL DR STE 313, MILWAUKEE, WI 53216-2056
(414) 722-9717
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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