Moore, Tania Sheri

Moore, Tania Sheri is an individual health care provider with primary practice located at 2647 N Holton St , Milwaukee WI 53212-2928. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Moore, Tania Sheri can be contacted via phone (141) 265-5113.

Contact Information

Primary practice address
2647 N Holton St Milwaukee WI 53212-2928
Phone: (141) 265-5113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 125198030 Wisconsin

Profile Details

NPI number 1639137151
LBN Legal business name Moore, Tania Sheri
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 29th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639137151 NPPES
Wisconsin MEDICAID 39991400

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