Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tara Lyn Witczak, APN-BC

Individual provider Adult Health Nurse Practitioner · NPI 1710252408

Mrs. Tara Lyn Witczak, APN-BC is an Adult Health Nurse Practitioner in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012

Practice location Address checks out

1555 N Rivercenter Dr Ste #206
Milwaukee, WI 53212-3981
Phone: (414) 272-5623
Fax: (414) 272-5617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4766-33 (WI)

Record details

NPI number1710252408
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-BC
Sole proprietorYes
NPI enumeratedMarch 14, 2012
Last updated in NPPESMarch 14, 2012

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