Most Relevant Information
Provider Data
| NPI Number: | 1003071069 |
| Provider Name: | TAMMY ANN MOTQUIN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3437-33 |
Most Important Dates
| Enumeration Date: | 07/18/2008 |
| Last Updated: | 07/18/2019 |
Provider Practice Location
744 S WEBSTER AVE
GREEN BAY
WI
543013505
Practice Location Phone/Fax
| Phone: | 9204457226 |
| Fax: |
Provider Mailing Location
744 S WEBSTER AVE
GREEN BAY
WI
543013505
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |