Provider Demographics
NPI:1083030696
Name:LIGMAN, TAMARA ANN (RN, BSN, MSN)
Entity Type:Individual
Prefix:
First Name:TAMARA
Middle Name:ANN
Last Name:LIGMAN
Suffix:
Gender:F
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:ANN
Other - Last Name:HOGAN. MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N64W38070 LAC LA BELLE DR
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-1651
Mailing Address - Country:US
Mailing Address - Phone:262-751-7287
Mailing Address - Fax:
Practice Address - Street 1:N64W38070 LAC LA BELLE DR
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-1651
Practice Address - Country:US
Practice Address - Phone:262-751-7287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-07
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10510030163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool