Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 2955-033 | WI |
NPI | 1013076223 |
---|---|
Provider Name | Tammy L Schladweiler |
First Address | Milwaukee, WI 53209-2042 |
Second Address | Kewaskum, WI 53040-9583 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 19/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0432-5649 | ANCC (01) | WI |