Mrs Tara Lyn Witczak, APN-BC - Nurse Practitioner in Milwaukee, WI

Mrs Tara Lyn Witczak, APN-BC is a Nurse Practitioner - Adult Health based in Milwaukee, Wisconsin. Mrs Tara Lyn Witczak is licensed to practice in Wisconsin (license number 4766-33) and her current practice location is 1555 N Rivercenter Dr, Suite #206, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (414) 272-5623.

NPI number for Mrs Tara Lyn Witczak is 1710252408 and her current mailing address is 1555 N Rivercenter Dr, Suite #206, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710252408.

Contact Information

Mrs Tara Lyn Witczak, APN-BC
1555 N Rivercenter Dr, Suite #206,
Milwaukee, WI 53212-3981
(414) 272-5623
(414) 272-5617

Map and Direction




Provider's Profile

Full NameMrs Tara Lyn Witczak
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1555 N Rivercenter Dr, Milwaukee, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710252408
  • Provider Enumeration Date: 03/14/2012
  • Last Update Date: 03/14/2012

Medical Identifiers

Medical identifiers for Mrs Tara Lyn Witczak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710252408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 4766-33 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Lyn Witczak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tara Lyn Witczak, APN-BC
1555 N Rivercenter Dr, Suite #206,
Milwaukee, WI 53212-3981

Ph: (414) 272-5623
Mrs Tara Lyn Witczak, APN-BC
1555 N Rivercenter Dr, Suite #206,
Milwaukee, WI 53212-3981

Ph: (414) 272-5623

Reviews and Comments


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