Individual provider · Type 1 NPI
Tahnee Siewert
Gerontology Nurse Practitioner · Manitowoc, WI
NPI number
1013265966
Active
Practice location
1650 S 41st St
Manitowoc, WI 54220-7316
Mailing address
4540 S 16th St
Sheboygan, WI 53081-7718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 175038-30 (WI) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 5173-33 (WI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1013265966
Tahnee Siewert's National Provider Identifier is 1013265966, issued on Aug 27, 2012. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Manitowoc, WI. The record was last updated on Aug 12, 2015.