Provider Demographics
NPI:1376277327
Name:AMRO, TASNEEM
Entity type:Individual
Prefix:
First Name:TASNEEM
Middle Name:
Last Name:AMRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8554 S 68TH ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8201
Mailing Address - Country:US
Mailing Address - Phone:414-943-2157
Mailing Address - Fax:
Practice Address - Street 1:8554 S 68TH ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8201
Practice Address - Country:US
Practice Address - Phone:414-943-2157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program