Malone, Anna Tai

Malone, Anna Tai is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy , Milwaukee WI 53215-3669. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Malone, Anna Tai can be contacted via phone (414) 649-7900.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Milwaukee WI 53215-3669
Phone: (414) 649-7900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14366 Wisconsin

Profile Details

NPI number 1033892237
LBN Legal business name Malone, Anna Tai
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2023
Last updated Oct 18th, 2023 - about 2 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 1033892237 NPPES
Wisconsin MEDICAID 100253506

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