Tahnee Siewert
Nurse Practitioner - Gerontology
1650 S 41st St
Manitowoc
, Wisconsin 54220-7316
Tahnee Siewert
Nurse Practitioner - Gerontology
1650 S 41st St
Manitowoc
, Wisconsin 54220-7316
(920) 634-9393
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Tahnee Siewert
- 4540 S 16th St
- Sheboygan, WI
- Zip : 53081-7718
- Phone : (920) 634-9393
Second Address
- Tahnee Siewert
- 1650 S 41st St
- Manitowoc, WI
- Zip : 54220-7316
- Phone : (920) 320-4660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 5173-33 | WI |
National Provider Identifier
| NPI | 1013265966 |
|---|---|
| Provider Name | Tahnee Siewert |
| First Address | Sheboygan, WI 53081-7718 |
| Second Address | Manitowoc, WI 54220-7316 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2012 |
| Last Update Date | 12/08/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.