Mary E Taggett, APNP
Mary E Taggett, APNP is a Nurse Practitioner in Oconomowoc, Wisconsin. Qualified in 2002, 24 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 24
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1185 Corporate Center Dr Ste 175Oconomowoc, WI 53066-4887
Phone: (262) 928-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 2200 (WI) |
|---|---|
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X · Licence 105021 (WI) |
Record details
| NPI number | 1760595110 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APNP |
| Sole proprietor | No |
| NPI enumerated | August 17, 2006 |
| Last updated in NPPES | June 3, 2015 |
| Mailing address | 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066-4887 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Prohealth Medical Group Inc — 472 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |