Search › Wisconsin › 363LA2200X
Tara Witczak, APN-BC
NPI 1710252408 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1555 N Rivercenter Dr
Suite #206
Milwaukee, WI 53212 - Phone
- (414) 272-5623
- Fax
- (414) 272-5617
- Organisation at this address
- Independent Care Health Plan
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin