Tammy L Degenhardt, APNP
Nurse Practitioner, Family in Menomonee Falls, WI. Individual provider (NPI-1).
NPI number1669770210
StatusActive
Last updated in NPPESNov 21, 2019
Details
- NPI
- 1669770210
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tammy L Degenhardt
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2011
- Last updated
- Nov 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 99873-30 | WI | Yes |
Practice location
N83w15550 Appleton AveMenomonee Falls, WI 53051-3714
Phone 262-253-5056
Mailing address
N83w15550 Appleton AveMenomonee Falls, WI 53051-3714
Phone 262-253-5056
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