TANYA ELMERGREEN AGPCNP NPI 1952814733

NPI Information

NPI: 1952814733
Provider Name: TANYA ELMERGREEN, AGPCNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1531 S MADISON ST
APPLETON, WI
ZIP 54915
Phone: (920) 738-2000
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Tanya Elmergreen, AGPCNP is a psychiatric/mental health nurse practitioner in Appleton, WI with 7 years of experience. Tanya Elmergreen, AGPCNP NPI is 1952814733. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1531 S MADISON ST
APPLETON, WI
ZIP 54915-800
Phone: (920) 738-2000

The NPI 1952814733 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2017 and was last updated on 8/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		8001-33	WISCONSIN	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	8001-33	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100073610	MEDICAID	WISCONSIN
2	100209146	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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