Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYLER FANTA, RN
Active Sole ProprietorTYLER FANTA, RN is a Registered Nurse healthcare provider located in COTTAGE GROVE, Wisconsin. NPI 1518404391 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · COTTAGE GROVE, WI
Registration Details
- NPI Number
- 1518404391
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2017 (9.3914523526607 yrs)
- Last Updated
- Jan 31, 2017
- License
-
171092-30 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 WEALD BRIDGE RDCOTTAGE GROVE, WI, 535279363Browse WI providers · Browse ZIP 53527
- Phone
- 6083172830
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in COTTAGE GROVE, WI
| Name | Credential | NPI |
|---|---|---|
| KATE A LOUTHER | RN | 1578702940 |
| COLLEEN GRACE PALLARDY | R.N. | 1902047822 |
| BETH STEELE | — | 1669600961 |
| EMILY JONES | RN | 1114253879 |
| COURTNEY CHRISTINA RUCKS | R.N. | 1780997403 |
| ERIN-KIRSTI COLSTAD | RN | 1255691580 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.