Healthcare Provider Details

I. General information

NPI: 1033043609
Provider Name (Legal Business Name): KERRI TUMA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W1100 W SMITH AVE
OSHKOSH WI
54901
US

IV. Provider business mailing address

1100 W SMITH AVE
OSHKOSH WI
54901-1848
US

V. Phone/Fax

Practice location:
  • Phone: 920-424-7000
  • Fax: 920-424-4054
Mailing address:
  • Phone: 920-424-7000
  • Fax: 920-424-4054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number134558-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: