MS. Audryunna Tahqwela Tate, LPN
NPI #1265289789 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1265289789
- Entity Type
- Individual
- Name
- MS. Audryunna Tahqwela Tate, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- May 2, 2024
- Last Updated
- May 2, 2024
Practice Location
- Address
- 2363 S 102ND ST STE 202
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53227-2143
- Phone
- (414) 982-8738
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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