Individual provider · Type 1 NPI

Tiffany Lynn Maggioncalda, APNP

Nurse Practitioner · West Allis, WI

NPI number 1659257376 Active

Practice location

2424 S 90th St
West Allis, WI 53227-2455

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 8901 W Lincoln Ave, West Allis, WI 53227-2409 · (414) 328-6000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X17272-33 (WI)
Acute Care Nurse Practitioner 363LA2100X17272-33 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659257376

Tiffany Lynn Maggioncalda, APNP's National Provider Identifier is 1659257376, issued on Aug 15, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in West Allis, WI. The record was last updated on Dec 18, 2025.