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NPI Code Detail

MEDICARE: MRS. TARA SELEEN APNP

MEDICARE:  MRS. TARA  SELEEN  APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse149961-030WI
2363LF0000XFamily Nurse Practitioner3578-33WI

General Provider Information

NPI Number : 1932365434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TARA SELEEN APNP
Provider Business Mailing Address
First Line : 1027 N 9TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1411
Country : US
Telephone Number : 414-765-0606
Fax Number : 414-765-0226
Provider Business Practice Location Address
First Line : 1027 N 9TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1411
Country : US
Telephone Number : 414-765-0606
Fax Number : 414-765-0226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2008
Last Update Date : 10/16/2013

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Directions to “ MRS. TARA SELEEN APNP” Practice Location

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