Elmergreen, Tanya

Elmergreen, Tanya is an individual health care provider with primary practice located at 1531 S Madison St , Appleton WI 54915-1800. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Elmergreen, Tanya can be contacted via phone (920) 738-2000.

Contact Information

Primary practice address
1531 S Madison St Appleton WI 54915-1800
Phone: (920) 738-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8001-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 8001-33 Wisconsin

Profile Details

NPI number 1952814733
LBN Legal business name Elmergreen, Tanya
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2017
Last updated Aug 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952814733 NPPES
Wisconsin MEDICAID 100073610
Wisconsin MEDICAID 100209146

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