Individual provider · Type 1 NPI

Tara Leigh Benson, APNP

Family Nurse Practitioner · Green Bay, WI

NPI number 1124868187 Active

Practice location

1860 Shawano Ave
Green Bay, WI 54303-2667

Fax (920) 429-1799

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X15391-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1124868187

Tara Leigh Benson, APNP's National Provider Identifier is 1124868187, issued on May 28, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 9, 2026.