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Individual
KIRSTEN LEAH TENNIE
Active
Individual
KIRSTEN LEAH TENNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC, APNP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
147806-30
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
15309-33
WI
364SG0600X
Gerontology Clinical Nurse Specialist
15309-33
WI
Other
Enumeration date
07/20/2024
Last updated
03/22/2026
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