Lien, Tara M

Lien, Tara M is an individual health care provider with primary practice located at 1580 Commanche Ave , Green Bay WI 54313-5751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Lien, Tara M can be contacted via phone (920) 435-8326.

Contact Information

Primary practice address
1580 Commanche Ave Green Bay WI 54313-5751
Phone: (920) 435-8326
Fax: (920) 430-4659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 161162 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3618 Wisconsin

Profile Details

NPI number 1235326703
LBN Legal business name Lien, Tara M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Apr 18th, 2023 - about last year

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 1235326703 NPPES
Other A1105073 AMERICAN ACADEMY OF NURSE PRACTITIONERS

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