Van Lannen, Tamara J

Van Lannen, Tamara J is an individual health care provider with primary practice located at 9000 W Sura Ln , Greenfield WI 53228-3477. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Van Lannen, Tamara J can be contacted via phone (414) 246-6400.

Contact Information

Primary practice address
9000 W Sura Ln Greenfield WI 53228-3477
Phone: (414) 246-6400
Fax: (414) 246-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 163165-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5880-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5880 Wisconsin

Profile Details

NPI number 1114240199
LBN Legal business name Van Lannen, Tamara J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2010
Last updated Jul 18th, 2022 - 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 1114240199 NPPES
Wisconsin MEDICAID 100040042

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