KELLE JOELL TOMATZ


Address: 10625 W North Avenue Suite 102, Emergency Medicine Specialists, S.c., Wauwatosa, WI 53266-0000
Phone: 4148775345

KELLE JOELL TOMATZ (NPI# 1972912764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972912764
Entity Type Individual
Full Name KELLE JOELL TOMATZ
Credential FNP-BC
Practice Address 10625 W North Avenue Suite 102
Emergency Medicine Specialists, S.c.
Wauwatosa
WI 53266-0000
Mailing Address 1317 Hillwood Blvd
Unit C
Pewaukee
WI 53072-6902
Practice Telephone 4148775345
Enumeration Date 2014-08-06
Last Update Date 2014-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
5795-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10625 W NORTH AVENUE SUITE 102
EMERGENCY MEDICINE SPECIALISTS, S.C.
City WAUWATOSA
State WI
Zip Code 53266-0000

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1588918890 Janine Allison Kolinski Nurse Practitioner 10012 W. Capitol Dr., Suite 101, Wauwatosa, WI 53222 2012-11-08
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Competitor

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City WAUWATOSA
Zip Code 53266

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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