Tart, Joann R.
Tart, Joann R. is an individual health care provider with primary practice located at 3925 N Gateway Dr , Appleton WI 54913-7863. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Tart, Joann R. can be contacted via phone (920) 454-8401.Contact Information
Primary practice address
3925 N Gateway Dr
Appleton WI 54913-7863
Phone: (920) 454-8401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R35611 | New Mexico |
| Nursing Service Providers / Oncology | 163WX0200X | R35611 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 2161 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP2984 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A004325 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2161 | Wisconsin |
Profile Details
| NPI number | 1548293103 |
|---|---|
| LBN Legal business name | Tart, Joann R. |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Oct 2nd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548293103 | NPPES |
| Arizona | MEDICAID | 319858 | |
| Arizona | MEDICAID | 67509860 |
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