Merck, Tara Taneski

Merck, Tara Taneski is an individual health care provider with primary practice located at 5433 W Fond Du Lac Ave Midtown Pediatrics, Milwaukee WI 53216-1382. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Merck, Tara Taneski can be contacted via phone (414) 277-8900.

Contact Information

Primary practice address
5433 W Fond Du Lac Ave Midtown Pediatrics Milwaukee WI 53216-1382
Phone: (414) 277-8900
Fax: (414) 277-8939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN113523 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 183420 Wisconsin

Profile Details

NPI number 1154387603
LBN Legal business name Merck, Tara Taneski
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Nov 17th, 2016 - about 10 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 1154387603 NPPES
Wisconsin MEDICAID 1154387603

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