SearchWisconsin363LA2200X

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